Delhi AIIMS sets global record with performing laparoscopic surgery on three-month-old baby

The Department of Paediatric at the All India Institute of Medical Sciences (AIIMS), New Delhi, has performed a laparoscopic surgery on a three-month-old boy to remove obstructions in both his kidneys, setting a global record for the youngest patient to undergo this procedure.

The doctors in the Department of Paediatrics performed the bilateral laparoscopic pyeloplasty procedure, which is a minimally invasive surgical technique used to treat ureteropelvic junction obstruction, a congenital condition that obstructs the urinary tract and impairs urine flow from the kidneys to the bladder. The 3-month-old baby had obstruction in both the kidneys and required surgery on both the kidneys. Traditionally, these surgeries were performed sequentially, requiring separate surgeries for each affected kidney.

During the two-hour operation, the surgical team meticulously reconstructed the obstructed ureteropelvic junction using microscopic sutures and fine instruments. The use of magnified video-assisted technology provided enhanced visualization, allowing for precise navigation through the delicate anatomy of the three-month-old patient.

The decision to operate both kidneys using laparoscopy approach was taken by the surgical team lead by Dr Vishesh Jain, additional professor in the Department of Paediatrics, to minimize invasiveness and maximize benefits. Prior to the surgery, extensive planning was conducted to ensure optimal results.

Three months after the surgery, the doctors performed a test called renogram to ascertain the success of the surgery and to confirm that the obstruction in the kidney outflow was relieved, said Dr Vishesh Jain. “Performing Bilateral Laparoscopic Pyeloplasty on a three-month-old child showcases the advancements in paediatric surgery. Our success demonstrates the dedication and expertise of our team, as well as AIIMS’ commitment to providing cutting-edge care to patients of all ages,” he said.

“The successful surgery not only showcases AIIMS’ commitment to cutting-edge paediatric surgical care but also highlights the institute’s expertise in anaesthesia considerations, resulting in the child’s discharge within just three days,” the hospital said.

The use of a miniature camera inserted through the belly button improved cosmesis, while additional incisions were strategically placed to facilitate surgeries on both sides without sharing the same incisions,” the statement from hospital read. “Thanks to the advanced surgical techniques and anaesthesia management employed by AIIMS, the infant experienced a rapid recovery. Within just three days, the child was discharged, enabling a swift return to their family,” the statement said.