Table Of ContentMinimally Invasive
Techniques in
Pediatric Urology
Endourology, Laparoscopy and
Robotics
Ciro Esposito
Ramnath Subramaniam
François Varlet
Lorenzo Masieri
Editors
123
Minimally Invasive Techniques
in Pediatric Urology
Ciro Esposito
Ramnath Subramaniam
François Varlet • Lorenzo Masieri
Editors
Minimally Invasive
Techniques in Pediatric
Urology
Endourology, Laparoscopy
and Robotics
Editors
Ciro Esposito Ramnath Subramaniam
Pediatric Surgery Department Paediatric Urology Department
University of Naples Federico II Leeds Teaching Hospitals NHS Trust
Napoli, Italy Leeds, UK
François Varlet Lorenzo Masieri
Pediatric Surgery Department Department of Clinical and
University of Saint-Etienne Experimental Medicine
Saint-Etienne, France University of Florence
Firenze, Italy
ISBN 978-3-030-99279-8 ISBN 978-3-030-99280-4 (eBook)
https://doi.org/10.1007/978-3-030-99280-4
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To Marina, my wife, my best friend, my love, for her precious
support in the last 40 years.
To my father, the best pediatric surgeon I’ve ever met, I thank
him for his continuous teaching and for transferring to me his
love for children we care for every day.
To my mentors, Giovanni Esposito, Philippe Montupet, Jean
Michel Guys, Michel Carcassonne, Arnaud Delarue, and
Franco Corcione, who showed me the way to follow.
With Gratitude
Ciro Esposito
For all sick children! The world of MIS is amazing and allows
for very good and less aggressive treatment in a wide range of
urological diseases. It was an honor for me to contribute to the
development of this book. I thank my dear pediatric surgeons
and friends who have supported me for over 30 years. And
thanks also to my wife and children who have waited for me so
often, I love you!
François Varlet
It has been my pleasure to team up with Ciro, Francois, and
Lorenzo as the editorial team for this textbook of minimally
invasive surgery. Significant progress has been made to harness
the power of technology for the benefit of our patients to improve
their experience during treatment with minimally invasive
techniques allowing early postoperative recovery and reduce
hospital stay. Robotics is making significant strides in the
minimally invasive approach to major procedures in children.
I am grateful to my wife and my children for their
unconditional love and support.
Ramnath Subramaniam
It has been an honor for me to contribute as editorial team
member to this important book. The topic is minimally invasive
surgery in Pediatric Urology, and it was a big pleasure for me
to contribute to the diffusion of Laparoscopy and Robotic
Surgery in children.
I dedicate my work to all my patients, to my wonderful Team, to
my Teachers, and to my Parents, my Wife, and my Sons.
“those who don’t read a good book has no advantage over
those who don’t read” (M.Twain)
Lorenzo Masieri
Foreword
After asepsis and anesthesia, minimally invasive surgery is a new revolution.
All areas of surgery have been involved and pediatric urology is no exception.
In this magnificent and comprehensive treatise, the preface of which I have
the honor to write, Ciro Esposito, Ramnath Subramanian, François Varlet,
and Lorenzo Macieri have brought together no less than three generations of
experts from all parts of the world. All areas are covered, from the kidney to
the bladder through the ureter and the genitals, from oncology to the treat-
ment of stones, including incontinence, malformative uropathies, disorders of
sexual development, and foetoendoscopy. The reader will be able to appreci-
ate in this work how the audacity, the tenacity, and the skills of the pioneers
made it possible to open up new paths in the human body. We must also
underline the essential role of the industry which has developed over the
years ever smaller, more suitable and efficient instruments. Not to mention
the robot, which makes laparoscopic procedures available to a greater num-
ber of us, procedures which were sometimes a technical feat and could wear
out the operator and his cervical spine. The robot that initially allows access
to difficult regions with exceptional quality of vision also allows high preci-
sion gestures. The way is open, the boundaries of the impossible have once
again receded, and this overview of the current possibilities of minimally
invasive surgery in pediatric urology shows how much our practices have
evolved. The benefit for our patients sometimes remains to be established and
other roads remain to be mapped out; but to this day, the contributors to this
work are to be thanked for showing us the extent of the road traveled over the
past decades.
Henri Lottmann
Pediatric Surgery and Urology Department
Necker-Enfants Malades Children University Hospital
Paris, France
vii
Contents
Part I General
1 Laparoscopic Approach in Pediatric Urology . . . . . . . . . . . . . . . 3
Jean-Stephane Valla, Ciro Esposito, Maria Escolino,
and Philippe Montupet
2 Retropertioneoscopy Approach in Pediatric Urology . . . . . . . . . 13
Fabio Chiarenza, Maria Escolino, Cosimo Bleve,
Fulvia Del Conte, Vincenzo Coppola, Mariapina Cerulo,
Giuseppe Autorino, and Ciro Esposito
3 Prone Approach in Pediatric Urology . . . . . . . . . . . . . . . . . . . . . . 19
Sara Lobo, Naser Al-Soudan Al-Anazi, and Imran Mushtaq
4 Robotics in Pediatric Urology . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Abhishek Deshpande and Mohan Gundeti
5 Endoscopic Approach for Urinary Tract Pathologies . . . . . . . . . 31
Marcello Cimador, Maria R. Di Pace, Marco Pensabene,
Fabio Baldanza, and Maria Sergio
6 Devices in Pediatric Endourology . . . . . . . . . . . . . . . . . . . . . . . . . 39
Liza M. Aguiar, Anthony A. Caldamone, and Hsi-Yang Wu
7 Instruments for Pediatric MIS Urology (Laparoscopy,
Endourology, Robotics) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Mario Mendoza Sagaon and Ernesto Montaruli
8 Energy Sources in Pediatric MIS Urology . . . . . . . . . . . . . . . . . . 53
Peter Zimmermann and Martin Lacher
9 Endoscopic Suturing in Paediatric MIS Urology . . . . . . . . . . . . . 59
Dariusz Patkowski
10 Pediatric Anesthesia in MIS Urology . . . . . . . . . . . . . . . . . . . . . . 63
Giuseppe Cortese, Costanza Tognon, Rosario Sara,
and Giuseppe Servillo
ix
x Contents
Part II Kidney
11 Endourologic Retrograde Balloon Dilatation of the Primary
Ureteropelvic Junction Obstruction in Children . . . . . . . . . . . . . 75
José María Angulo, Javier Ordoñez, Alberto Parente,
Laura Burgos, Laura Pérez-Egido,
Beatriz Fernández-Bautista, and Rubén Ortiz
12 Robotic Pyeloplasty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
Alexander M. Turner, Salahuddin Syed,
and Ramnath Subramaniam
13 Laparoscopic Approach for Uretero–Pyelo Junction
Obstruction (UPJO) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89
Philipp Szavay
14 Retroperitoneal Laparoscopic Pyeloplasty in Infants
and Children . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95
Annabel Paye-Jaouen, Matthieu Peycelon,
and Alaa El-Ghoneimi
15 Uretero-Pelvic Junction Obstruction (UPJO) Treatment
Using: One-Trocar-Assisted Pyeloplasty (OTAP) . . . . . . . . . . . . 103
Neil Di Salvo, Eduje Thomas, Tommaso Gargano,
and Mario Lima
16 Laparoscopic Management of Extrinsic Uretero-Pelvic
Junction Obstruction (UPJO) by Crossing Vessels . . . . . . . . . . . 109
S. F. Chiarenza and C. Bleve
17 Minimally Invasive Redo- Pyeloplasty . . . . . . . . . . . . . . . . . . . . . . 119
Holger Till, Maria Escolino, and Ciro Esposito
18 Nephrectomy: Robotic Approach . . . . . . . . . . . . . . . . . . . . . . . . . 127
Lorenzo Masieri, Giulia Bortot, Chiara Cini, Simone Sforza,
and Alberto Mantovani
19 Laparoscopic Nephrectomy in Pediatric Patients . . . . . . . . . . . . 133
Susana Rivas Vila, Pedro López Pereira,
María José Martínez Urrutia, Roberto Lobato Romera,
Virginia Amesty Morello, and Alfredo Aguilera Bazan
20 Retroperitoneal Laparoscopic Nephrectomy . . . . . . . . . . . . . . . . 143
Elie Farah, Aline Broch, Nathalie Botto, and Thomas Blanc
21 Posterior Prone Retroperitoneoscopic Nephrectomy . . . . . . . . . 151
Naser Al-Soudan Al Anazi, Sara Lobo, and Imran Mushtaq
22 Robot-Assisted Partial Nephrectomy in Children . . . . . . . . . . . . 157
Ibtissam Kassite, Aurélien Binet, Anne Letouze,
Thierry Villemagne, Karim Braik, and Hubert Lardy
Contents xi
23 Laparoscopic Partial Nephrectomy in Pediatric Patients . . . . . . 165
Ciro Esposito, Maria Escolino, Alessandra Farina,
Fulvia Del Conte, Vincenzo Coppola,
Mariapina Cerulo, Giuseppe Autorino, and Alessandro Settimi
24 Partial Nephrectomy Using Retroperitoneoscopy . . . . . . . . . . . . 173
Matthieu Peycelon, Valeska Bidault, Annabel Paye-Jaouen,
and Alaa El-Ghoneimi
25 Retroperitoneoscopic Prone Partial Nephrectomies . . . . . . . . . . 181
Marc-David Leclair
26 Management of Kidney Stones Using RIRS . . . . . . . . . . . . . . . . . 189
Lorenzo Masieri, Alfonso Crisci, Alberto Mantovani,
Chiara Cini, and Simone Sforza
27 Management of Kidney Stones Using Perc/Micro-perc as
Minimally Invasive Percutaneous Procedures . . . . . . . . . . . . . . . 203
Paolo Caione, Giuseppe Collura, Michele Innocenzi,
Mauro De Dominicis, Laura Del Prete, Ermelinda Mele,
and Nicola Capozza
28 Place of Laparoscopic and Robotic Surgery in the
Management of Kidney Urolithiasis . . . . . . . . . . . . . . . . . . . . . . . 215
H. Steyaert and S. Luycks
29 MIS Management of Symptomatic Simple Renal Cysts . . . . . . . 225
Maria Escolino, Fulvia Del Conte, Vincenzo Coppola,
Mariapina Cerulo, and Ciro Esposito
30 Laparoscopic Radical Nephrectomy for Wilms’ Tumors . . . . . . 235
Aurélien Scalabre, François Varlet, Aurore Bouty,
Thomas Blanc, and Yves Heloury
31 Robotic Approach for Kidney Tumors in Pediatric Patients . . . 243
Thomas Blanc, Luca Pio, Enrico Brönnimann, Yves Heloury,
and Sabine Sarnacki
32 MIS Management of Adrenal Tumors in Pediatric Patients . . . . 253
Luca Pio, Yves Heloury, Sabine Sarnacki, and Thomas Blanc
Part III Ureter
33 Endoscopic Treatment of Primary Obstructive Megaureter . . . 261
José María Angulo, Rubén Ortiz, Laura Burgos,
Beatriz Fernández, Javier Ordoñez, and Alberto Parente
34 Laparoscopic Management of the Primary Obstructive
Megaureter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 271
Manuel Lopez, Romy Gander, Gloria Royo,
and Marino Asensio
