Weill Cornell Medicine Urology
Weill Cornell Medicine Urology
Pediatric Kidney Health (Laparoscopic Nephrectomy)

Pediatric Kidney Health (Laparoscopic Nephrectomy)

Header Text: 

Major advances in laparoscopic surgery have allowed for less invasive surgery in the realm of urology with the benefits of decreased post-operative discomfort and healing time as well as improved cosmetic results. 

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Initially, laparoscopy had limited diagnostic and therapeutic uses. With the advent of automatic clip appliers, stapling devices, impermeable organ removal bags, and morcellating devices, the scope of procedures that can be performed laparoscopically has been broadened substantially. In urology, such advances have allowed for laparoscopic varicocelectomies, bladder augmentations, urinary diversions, ureterolysis, adrenalectomies, nephrectomies, and nephro-ureterectomies. We now have performed over 50 laparoscopic nephrectomies on children at our center. Our director, Dr. Dix Poppas, has performed all the operations.

Some of the indications for nephrectomy have included large painful, multicystic dysplastic kidneys, poorly controlled renovascular hypertension, and a non-functioning kidney secondary to severe vesicoureteral reflux. Other children treated with this procedure have presented with urinary tract infections in the setting of non-functioning kidneys secondary to congenital UPJ obstructions. In one of these children (a one-year old girl), a horseshoe kidney was discovered with a non-functioning right kidney secondary to UPJ obstruction.

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We have also performed laparoscopic nephro-ureterectomies on children. In this case, we remove the kidney and the entire ureter. The ureter is the muscular tube that drains urine into the bladder from the kidney. Several of these children presented with non-functioning kidneys secondary to severe vesicoureteral reflux. Reflux is a condition described elsewhere on our web site. In short, reflux allows the passage of infected urine into the kidney through the ureter. This can result in chronic infection and scarring of the kidney leading to unilateral and sometimes bilateral infections. The burned-out scarred kidneys that continue to have infections must be removed.

We have also performed partial nephrectomies with ureterectomy on several children. These patients presented with urinary tract infections and were found to have duplicated collecting systems. In this situation we were able to separate the nonfunctioning portion of the duplicated kidney from the normally functioning portion in order to preserve future kidney function.

Pediatric Kidney Health (Laparoscopic Nephrectomy) - Treatment Options

Summary: 

Minimally invasive surgery and laparoscopy have rapidly come to the forefront as a feasible option for children with certain urological diseases.

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Physicians & Faculty

Dr. Dix Phillip Poppas, M.D., F.A.A.P., F.A.C.S. | Cornell Urology

Dix P. Poppas

M.D.

212.746.5337
212.746.5337
AETNA-HMO, AETNA-PPO, Aetna-Weill Cornell POS, Affinity Essential, Affinity Health Plan, Blue Priority Network, CIGNA, EBCBS HMO, EBCBS Pathway X, EBCBS Pathway X Enhanced, EBCBS PPO/EPO, Empire BCBS HealthPlus, Empire BCBS HealthPlus (CHP), Fidelis Care, Health First, Health Insurance Plan of NY (HIP) [Medicaid], Medicaid, Medicare, Oxford Freedom, POMCO, Rockefeller University-CoreSource, VNSNY CHOICE SelectHealth
The Institute for Pediatric Urology

Ardavan Akhavan

M.D.

(212) 746-5361
(212) 746-5361
Medicare
The Institute for Pediatric Urology
Dr. Jeremy B. Wiygul, M.D. | Cornell Urology

Jeremy Wiygul

M.D.

(718) 224-2644
(718) 224-2644
AETNA, Affinity (Exchange Products: Essential- Platinum, Gold, Silver, Broze, American Indian, Catastrophic), Amida Care, CIGNA, Consumer Health Network (CHN), Coventry/FirstHealth, EBCBS Pathway X, EBCBS Pathway X Enhanced, Elderplan, Empire BCBS Healthplus (AmeriGroup NY), Fidelis (Excluding Fidelis Exchange and Essential), GHI PPO/CBP/Prem PPO (Emblem Exchange Products: Select Care Bronze, Silver, Gold, Platinum, Basic), Health First (Excluding Leaf Products), HIP (Incl. Comprehealth) (Emblem Exchange Products: Select Care Bronze, Silver, Gold, Platinum, Basic), Local 1199, MagnaCare (Exchange Products: Health Republic Essenital Care, Oscar Edge Plans), Medicare, MultiPlan, Oxford (NY State of Health), Railroad Medicare, United Health Care [Community Plan], VNSNY Choice/VNS FIDA (formerly Select Health), Wellcare (Medicare, Medicaid, CHP, and FHP-exclusing Essential Plan)
Weill Cornell Medicine Urology - Queens

Diane Felsen

Ph.D.

212.746.5796
212.746.5796

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