Pediatric laparo-endoscopic single site partial nephrectomy: Feasibility in infants and small children for upper urinary tract duplication anomalies

被引:9
作者
Bansal, D. [1 ]
Cost, N. G. [1 ]
Bean, C. M. [1 ]
Noh, P. H. [1 ]
机构
[1] Cincinnati Childrens Hosp Med Ctr, Div Pediat Urol, Cincinnati, OH 45229 USA
关键词
Partial nephrectomy; Pediatrics; Laparoendoscopic single site; Minimally invasive surgery; Hydroureteronephrosis; Upper urinary tract duplication; INITIAL CASE-REPORT; PORT; PYELOPLASTY; POPULATION; EXPERIENCE; OUTCOMES; SURGERY;
D O I
10.1016/j.jpurol.2014.01.025
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Objective: To assess the feasibility and outcomes of laparo-endoscopic single site (LESS) partial nephrectomy (PN) in infants and small children for upper urinary tract duplication anomalies. Materials and methods: The medical records of all patients undergoing LESS PN at a single pediatric institution were retrospectively reviewed for patient demographics, perioperative details, and outcomes. A cystoscopy was initially performed to place an externalized catheter into the ureter of the ipsilateral normal renal moiety. An Olympus TriPort, an Olympus Endoeye flexible tip laparoscope, standard 3- or 5-mm instrumentation, and a LigaSure Blunt were utilized. Results: Four children (two boys, two girls) underwent LESS PN. Three patients underwent upper pole PN and one underwent lower pole PN. All procedures were performed for poorly functioning obstructed renal moieties (one ureterocele, one ureteropelvic junction obstruction and vesicoureteral reflux, and two ectopic ureters). Median age was 6.2 months (range 2.5-16.4 months). Median weight was 7.7 kg (range 6.1-12.6 kg). Median operative time was 126 min (range 97-180 min). No patient received inpatient postoperative narcotics. Median follow up was 9.9 months (range 6.2-19.1 months). No postoperative complications were noted. Postoperative renal ultrasound demonstrated successful resection in all patients. Conclusions: LESS PN is technically feasible, safe, and effective for upper urinary tract duplication anomalies in infants and small children. (C) 2014 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:859 / 863
页数:5
相关论文
共 24 条
[1]   Pediatric Transumbilical Laparoendoscopic Single-site Nephroureterectomy: Initial Report [J].
Bayazit, Yildirim ;
Aridogan, Ibrahim Atilla ;
Abat, Deniz ;
Satar, Nihat ;
Doran, Saban .
UROLOGY, 2009, 74 (05) :1116-1119
[2]   Comparison of Laparoendoscopic Single-site and Multiport Laparoscopic Radical and Partial Nephrectomy: A Prospective, Nonrandomized Study [J].
Bazzi, Wassim M. ;
Stroup, Sean P. ;
Kopp, Ryan P. ;
Cohen, Seth A. ;
Sakamoto, Kyoko ;
Derweesh, Ithaar H. .
UROLOGY, 2012, 80 (05) :1039-1045
[3]   Laparoendoscopic Single-Site Partial Nephrectomy Without Ischemia [J].
Cindolo, Luca ;
Berardinelli, Francesco ;
Gidaro, Stefano ;
Schips, Luigi .
JOURNAL OF ENDOUROLOGY, 2010, 24 (12) :1997-2002
[4]   LAPAROSCOPIC NEPHRECTOMY - INITIAL CASE-REPORT [J].
CLAYMAN, RV ;
KAVOUSSI, LR ;
SOPER, NJ ;
DIERKS, SM ;
MERETYK, S ;
DARCY, MD ;
ROEMER, FD ;
PINGLETON, ED ;
THOMSON, PG ;
LONG, SR .
JOURNAL OF UROLOGY, 1991, 146 (02) :278-282
[5]   Laparoendoscopic Single-site Surgery: Initial Hundred Patients [J].
Desai, Mihir M. ;
Berger, Andre K. ;
Brandina, Ricardo ;
Aron, Monish ;
Irwin, Brian H. ;
Canes, David ;
Desai, Mahesh R. ;
Rao, Pradeep P. ;
Sotelo, Rene ;
Stein, Robert ;
Gill, Inderbir S. .
UROLOGY, 2009, 74 (04) :805-812
[6]   Laparoendoscopic Single-site Partial Nephrectomy: A Multi-institutional Outcome Analysis [J].
Greco, Francesco ;
Autorino, Riccardo ;
Rha, Koon H. ;
Derweesh, Ithaar ;
Cindolo, Luca ;
Richstone, Lee ;
Herrmann, Thomas R. W. ;
Liatsikos, Evangelos ;
Sun, Yinghao ;
Fanizza, Caterina ;
Nagele, Udo ;
Stolzenburg, Jens-Uwe ;
Rais-Bahrami, Soroush ;
Liss, Michael A. ;
Schips, Luigi ;
Kassab, Ahmad ;
Wang, Linhui ;
Kallidonis, Panagiotis ;
Wu, Zhenjie ;
Young, Shin Tae ;
Mohammed, Nasreldin ;
Haber, Georges-Pascal ;
Springer, Christopher ;
Fornara, Paolo ;
Kaouk, Jihad H. .
EUROPEAN UROLOGY, 2013, 64 (02) :314-322
[7]   Comparison of laparoscopic versus open nephrectomy in the pediatric population [J].
Hamilton, BD ;
Gatti, JM ;
Cartwright, PC ;
Snow, BW .
JOURNAL OF UROLOGY, 2000, 163 (03) :937-939
[8]   Robot-assisted Laparoendoscopic Single-site Surgery: Partial Nephrectomy for Renal Malignancy [J].
Han, Woong Kyu ;
Kim, Dong Suk ;
Jeon, Hwang Gyun ;
Jeong, Wooju ;
Oh, Cheol Kyu ;
Choi, Kyung Hwa ;
Lorenzo, Enrique Ian S. ;
Rha, Koon Ho .
UROLOGY, 2011, 77 (03) :612-616
[9]   Pediatric Laparoendoscopic Single-site Partial Nephrectomy: Initial Report [J].
Jeon, Hwang Gyun ;
Kim, Dong Suk ;
Jeoung, Ha Bum ;
Han, Sang Won ;
Hong, Chang Hee ;
Im, Young Jae ;
Oh, Young Taek ;
Kim, Myung Joon ;
Han, Woong Kyu .
UROLOGY, 2010, 76 (01) :138-141
[10]   Single-port laparoscopic surgery: initial experience in children for varicocelectomy [J].
Kaouk, Jihad H. ;
Palmer, Jeffrey S. .
BJU INTERNATIONAL, 2008, 102 (01) :97-99