Transperitoneal Laparoscopic Upper Pole Heminephrectomy in Pediatric Patients with Duplex Kidneys: Comparison with an Age-Matched Cohort of Open Surgery
Korean Journal of Urology
;
: 879-883, 2009.
Artigo
em Inglês
| WPRIM
| ID: wpr-162209
ABSTRACT
PURPOSE:
We evaluated the safety and feasibility of transperitoneal laparoscopic upper pole heminephrectomy (TLUHN) in pediatric patients by comparing an age-matched cohort undergoing open upper pole heminephrectomy (OUHN) by a single surgeon. MATERIALS ANDMETHODS:
A total of 10 OUHNs were performed between 1995 and 2003 and 10 TLUHNs between 2003 and 2008. The 10 patients in each group were matched by age (p=0.94), gender (p=1.0), and body weight (p=0.91).RESULTS:
There was no open conversion in the TLUHN group. The median operative time in the TLUHN and OUHN groups was 174 minutes (range, 98-205) and 190 minutes (range, 120-258), respectively (p=0.19). In the TLUHN and OUHN groups, the median blood loss was 25 ml (range, 20-30) and 35 ml (range, 20-100) (p=0.74), the median analgesic requirement was 0 hours (range, 0-42) and 0 hours (range, 0-87) (p=0.16), and the median hospital stay was 5.5 days (range, 3-7) and 7 days (range, 3-19) (p=0.01), respectively. There were no intraoperative complications in either group. Postoperative atelectasis occurred in two and five patients in the TLUHN and OUHN groups, respectively. Similar results were found in the subanalysis of patients younger than 24 months.CONCLUSIONS:
TLUHN is safe and feasible even in small children and infants. Furthermore, decreased hospital stay is the main advantage of the laparoscopic approach compared with open surgery.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Pediatria
/
Atelectasia Pulmonar
/
Peso Corporal
/
Estudos de Coortes
/
Laparoscopia
/
Duração da Cirurgia
/
Imidazóis
/
Complicações Intraoperatórias
/
Tempo de Internação
/
Nefrectomia
Tipo de estudo:
Estudo de etiologia
/
Estudo de incidência
/
Estudo observacional
Limite:
Criança
/
Humanos
/
Lactente
Idioma:
Inglês
Revista:
Korean Journal of Urology
Ano de publicação:
2009
Tipo de documento:
Artigo
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