Hyderabad Doctors Successfully Treat Rare Kidney Tumour in Six-Year-Old Using Advanced Keyhole Surgery

Hyderabad: Doctors at the Asian Institute of Nephrology and Urology (AINU), Hyderabad, have successfully removed a kidney tumour from a six-year-old boy suffering from an extremely rare congenital kidney condition using advanced minimally invasive surgery, while preserving the child’s healthy kidney function.

The young patient, a resident of Hyderabad, was diagnosed with a crossed fused ectopic kidney, a rare condition in which both kidneys are fused together and located on the same side of the body. The abnormality, combined with the presence of a tumour, presented a highly complex surgical challenge for doctors.

The child was brought to AINU after experiencing blood in his urine for two days. Detailed medical investigations revealed the presence of a tumour in the fused kidney, requiring immediate intervention.

According to specialists, such cases are exceptionally rare because the kidneys have distorted urinary collecting systems and an unpredictable network of blood vessels, making conventional surgery both difficult and risky.

To address these challenges, the surgical team used advanced three-dimensional imaging technology to create a detailed map of the child’s unique kidney anatomy and blood supply before the operation. During the procedure, surgeons also employed laparoscopic intraoperative ultrasound to accurately determine the tumour’s location, size and boundaries.

The team used a highly specialised minimally invasive laparoscopic technique to selectively block only the blood vessels supplying the tumour and remove it through tiny keyhole incisions, while preserving blood flow to the healthy portions of the kidney.

Doctors said the tumour was completely removed with clear surgical margins, and the child experienced no major complications during or after the surgery. He retained normal kidney function and recovered smoothly before being discharged in good health.

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Dr. Syed Md. Ghouse, Director of Robotics and Minimal Access Urology at AINU, who led the surgical team, said operating on a tumour in a crossed fused ectopic kidney is among the most challenging procedures in paediatric urology because every patient’s anatomy is unique and traditional surgical landmarks are absent.

He noted that the use of three-dimensional reconstruction, intraoperative ultrasound and advanced imaging technologies enabled surgeons to precisely identify the tumour and preserve healthy kidney tissue, ensuring the best possible long-term outcome while avoiding open surgery.

Dr. Mallikarjuna C, Managing Director, Chief Consultant Urologist and Robotic Surgeon at AINU, said treating tumours in fused kidneys is particularly difficult due to abnormal anatomy and shared blood supply.

“Using advanced keyhole surgical techniques, we were able to remove the tumour with precision while preserving maximum kidney function, which is especially important in children and in such rare cases,” he said.

AINU doctors said the successful outcome demonstrates the growing role of precision-guided minimally invasive surgery in treating rare and anatomically complex paediatric kidney tumours while preserving organ function and improving long-term outcomes for children.

The multidisciplinary team involved in the procedure included Dr. Syed Md. Ghouse, Dr. Mallikarjuna C and Dr. Rajesh Kumar Reddy Adapala, Consultant Uro-Oncologist at AINU.