الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Laparoscopic procedures have gained a strong momentum in the last 20 years. Indications and benefits of Laparoscopy in pediatric are well established so that laparoscopic nephrectomy had become the gold standard in management of non functioning kidney.
Laparoscopic nephrectomy has been performed for different indications. It is easy to learn, carries no intraoperative or postoperative complications in the hands of trained personnel. Short operative time, shorter hospital stay, rapid recovery and excellent cosmetic outcome are the great advantages of the technique.
Laparoscopic partial nephrectomy is a technically demanding procedure necessitating a long learning curve. Both upper and lower partial nephrectomy can be performed by laparoscopy. Caution should be taken to avoid loss of the function of the remaining moiety. It is recommended to preserve this technically difficult procedure to specialized centers with great laparoscopic experience.
Laparoscopic transperitoneal nephrectomy was performed on 20 children with non functioning kidneys, all in the Pediatric Surgery Unit, in El Shatby Children Hospital from January 2019 to April 2021. They were studied according to operative and postoperative variables reporting no major intra-operative or postoperative complications. Partial nephrectomy was performed on four patients. Only one patient complicated postoperatively with urine leak which required exploration to repair the renal cortical tear.