gPediatric single port transumbilical nephrectomy and nephroureterectomy

被引:3
作者
Urbanowicz, Wieslaw [1 ]
Sulislawski, Janusz [1 ]
Wolnicki, Michal [1 ]
机构
[1] Jagiellonian Univ, Dept Pediat Urol Collegium Medicum, 265 Wielicka St, PL-30665 Krakow, Poland
关键词
SILS; laparoscopic nephrectomy; children;
D O I
10.5173/ceju.2011.04.art12
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Objective. To present seven cases of single incision laparoscopic nephrectomy and nephroureterectomy in children as a recent videoscopic innovation. Patients and methods. Seven children with nonfunctioning kidneys, three with multicystic dysplastic kidneys, two with end-stage renal nephropathy due to vesicoureteral reflux, and two with giant hydronephrosis were qualified to nephrectomy or nephroureterectomy. The surgery was performed transperitoneally using single incision access laparoscopy. The operative time was in the range of 50-90 min. Results. There were no intraoperative or postoperative complications. The patients were discharged on the third postoperative day. The incision scars were hidden inside the umbilicus. Conclusions. Nephrectomy or nephroureterectomy using a single transumbilical port in children is a feasible and efficacious technique. The advantages are shortened convalescence, excellent cosmetic results, and reduction of potential wounds complications. However, clear indication of single site laparoscopic procedures in children remains to be clarified.
引用
收藏
页码:240 / 242
页数:3
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