Published 2015-10-01
Gampo Alam Irdam Irfan Wahyudi Arry Rodjani Gerhard Reinaldi Situmorang


Objective: To explain efficacy and feasibility of heminephrectomy laparoscopic with retroperitoneal approach in double collecting system patients with non-functional upper moiety. Material & methods: Three cases in Cipto Mangunkusumo Hospital’s urology outpatient clinic from July 2013 - January 2014 with double collecting system and non-functional upper moiety. Laparoscopic heminephrectomy with retroperitoneal approach were done to these patients. Results: Surgery was done within 200 - 240 minutes with minimal bleeding and no significant complication. There was no significant hemodynamic disturbance observed during surgery. Patients were able to mobilize and to get immediate oral intake. Pains were minimal and can be treated with first-line analgesics. The patients were discharged on the fourth and fifth day of hospitalization. Conclusion: We are reporting our initial experience doing retroperitoneoscopic heminephrectomy in double collecting system patient. This procedure was feasible and produced good outcomes for the patients.



Double collecting system, retroperitoneal laparoscopy, retroperitoneoscopy


Campbell MF. Surgical treatment of anomalies of upper urinary tract in children. J Am Med Assoc . American Medical Association; 1936 Jan 18 .106(3):193.

Privett JT, Jeans WD, Roylance J. The incidence and importance of renal duplication. Clin Radiol. 1976 Oct;27(4):521–30.

Johnston JH. Urinary tract duplication in childhood. Arch Dis Child. 1961 Apr;36(186):180–9.

Peters C, Schlussel R, Mendelsohn C. Campbell Urology 10th Ed. In: Wein A, Kavoussi L, Partin A, Novick A, Peters C, editors. Campbell Walsh Urology. 10th ed. Philadelphia: Elsevier; 2012. p. 3237–67.

Velaoras K. Renal Duplication. In: Sakellaris G, editor. Essentials in Pediatric Urology . 2012. p. 89–94.

Seibold J, Schilling D, Nagele U, Anastasiadis AG, Sievert KD, Stenzl A, et al. Laparoscopic heminephroureterectomy for duplex kidney anomalies in the pediatric population. J Pediatr Urol . Elsevier; 2008 Oct 1;4(5):345–7.

Rassweiler J, Wiesel M. Nephrology Dialysis Transplantation Laparoscopy and retroperitoneoscopy — novel techniques of which clinical nephrologists should be aware. 1999;313–7.

Phillips J, Catto JWF, Lavin V, Doyle D, Smith DJ, Hastie KJ, et al. The laparoscopic nephrectomy learning curve: a single centre’s development of a de novo practice. Postgrad Med J . 2005 Sep ;81(959):599–603.

Soares RS, Romanelli P, Sandoval M a, Salim MM, Tavora JE, Abelha DL. Retroperitoneoscopy for treatment of renal and ureteral stones. Int Braz J Urol . 2005;31(2):111–6.

Skinner A, Maoate K, Beasley S. Retroperitoneal laparoscopic nephrectomy: the effect of the learning curve, and concentrating expertise, on operating times. J Laparoendosc Adv Surg Tech A. 2010;20:383–5.

Li HZ, Ma X, Zhang J, Zhang X, Wang BJ, Shi TP, et al. Retroperitoneal laparoscopic upper-pole nephroureterectomy for duplex kidney anomalies in adult patients. Urology. 2011;77:1122–5.

Terakawa T, Miyake H, Hara I, Takenaka A, Fujisawa M. Retroperitoneoscopic nephroureterectomy for upper urinary tract cancer: a comparative study with conventional open retroperitoneal nephroureterectomy. Journal of endourology / Endourological Society. 2008 p. 1693–9.

Gaur DD. Laparoscopic operative retroperitoneoscopy: use of a new device. J Urol. 1992;148:1137–9.

Rassweiler JJ, Seemann O, Frede T, Henkel TO, Alken P. Retroperitoneoscopy: Experience with 200 cases. J Urol. 1998;160:1265–9.

Jordan GH, Winslow BH. Laparoendoscopic upper pole partial nephrectomy with ureterectomy. The Journal of urology. 1993. p. 940–3.

Borzi PA. A comparison of the lateral and posterior retroperitoneoscopic approach for complete and partial nephroureterectomy in children. BJU international. 2001 p. 517–20.

García-Aparicio L, Krauel L, Tarrado X, Olivares M, García-Nuñez B, Lerena J, et al. Heminephroureterectomy for duplex kidney: Laparoscopy versus open surgery. J Pediatr Urol. 2010;6:157–60.

Leclair MD, Vidal I, Suply E, Podevin G, Héloury Y. Retroperitoneal Laparoscopic Heminephrectomy in Duplex Kidney in Infants and Children: A 15-Year Experience. Eur Urol. 2009;56:385–91.

Wallis MC, Khoury AE, Lorenzo AJ, Pippi-Salle JL, Bägli DJ, Farhat WA. Outcome Analysis of Retroperitoneal Laparoscopic Heminephrectomy in Children. J Urol. 2006;175:2277–82.

Chen Z, Tang Z-Y, Cen X, Fan B-Y, Zhou P, He Y, et al. Retroperitoneoscopic Upper Pole Nephroureterectomy in Duplex Kidney: Focus on the Role of Dilated Upper Pole Ureter. J Urol. 2014; 10: 1046-53

Jayram G, Roberts J, Hernandez A, Heloury Y, Manoharan S, Godbole P, et al. Outcomes and fate of the remnant moiety following laparoscopic heminephrectomy for duplex kidney: A multicenter review. J Pediatr Urol. 2011;7:272–5.

Mushtaq I, Haleblian G. Laparoscopic heminephrectomy in infants and children: First 54 cases. J Pediatr Urol. 2007;3:100–3.

Singh RR, Wagener S, Chandran H. Laparoscopic management and outcomes in non-functioning moieties of duplex kidneys in children. J Pediatr Urol. 2010;6:66–9.

Valla JS, Breaud J, Carfagna L, Tursini S, Steyaert H. Treatment of ureterocele on duplex ureter: Upper pole nephrectomy by retroperitoneoscopy in children based on a series of 24 cases. Eur Urol. 2003;43:426–9.

Castellan M, Gosalbez R, Carmack AJ, Prieto JC, Perez-Brayfield M, Labbie A. Transperitoneal and Retroperitoneal Laparoscopic Heminephrectomy-What Approach for Which Patient? J Urol. 2006;176:2636–9.

Giebler RM, Walz MK, Peitgen K, Scherer RU. Hemodynamic changes after retroperitoneal CO2 insufflation for posterior retroperitoneoscopic adrenalectomy. Anesth Analg 1996 Apr;82(4):827–31.

Streich B. Increased carbon dioxide absorption during retroperitoneal laparoscopy. Br J Anaesth. 2003 Dec 1;91(6):793–6.

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Department of Urology, Faculty of Medicine/Airlangga University