ABSTRACT

Laparoscopic procedures for the treatment of benign renal conditions in children are gradually replacing open procedures. Nephrectomy, heminephrectomy, and nephroureterectomy have now become standard procedures by laparoscopy in centers where expertise is available. The transperitoneal approach was initially popular due to the familiarity of surgeons with laparoscopic gastrointestinal surgery. After the landmark publication of Gaur describing the retroperitoneoscopic approach, it has found favor with many surgeons. Regardless of the approach utilized, the benefits to the child in terms of a faster postoperative recovery and improved cosmesis are without question.