Medizinische Universität Graz - Research portal
Selected Publication:
SHR Neuro Cancer Cardio Lipid Metab Microb
Esposito, C; Escolino, M; Miyano, G; Caione, P; Chiarenza, F; Riccipetitoni, G; Yamataka, A; Savanelli, A; Settimi, A; Varlet, F; Patkowski, D; Cerulo, M; Castagnetti, M; Till, H; Marotta, R; La Manna, A; Valla, JS.
A comparison between laparoscopic and retroperitoneoscopic approach for partial nephrectomy in children with duplex kidney: a multicentric survey.
World J Urol. 2016; 34(7):939-948
Doi: 10.1007/s00345-015-1728-8
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- Co-authors Med Uni Graz
- Till Holger
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- Abstract:
- To compare the outcome of laparoscopic and retroperitoneoscopic approach for partial nephrectomy in infants and children with duplex kidneys. Data of 102 patients underwent partial nephrectomy in a 5-year period using MIS procedures were analyzed. Fifty-two children underwent laparoscopic partial nephrectomy (LPN), and 50 children underwent retroperitoneoscopic partial nephrectomy (RPN). Median age at surgery was 4.2 years. Statistical analysis was performed using χ (2) test and Student's t test. The overall complications rate was significantly higher after RPN (15/50, 30 %) than after LPN (10/52, 19 %) [χ (2) = 0.05]. In LPN group, complications [4 urinomas, 2 symptomatic refluxing distal ureteral stumps (RDUS) and 4 urinary leakages] were conservatively managed. In RPN group, complications (6 urinomas, 8 RDUS, 1 opening of remaining calyxes) required a re-operation in 2 patients. In both groups no conversion to open surgery was reported. Operative time (LPN:166.2 min vs RPN: 255 min; p < 0.001) and hospitalization (LPN: 3.5 days vs RPN: 4.1 days; p < 0.001) were significantly shorter in LPN group. No postoperative loss of renal function was reported in both groups. Our results demonstrate that RPN remains a technically demanding procedure with a significantly higher complications and re-operation rate compared to LPN. In addition, length of surgery and hospitalization were significantly shorter after LPN compared to RPN. LPN seems to be a faster, safer and technically easier procedure to perform in children compared to RPN due to a larger operative space and the possibility to perform a complete ureterectomy in refluxing systems.
- Find related publications in this database (using NLM MeSH Indexing)
- Child -
- Child, Preschool -
- Female -
- Health Care Surveys -
- Humans -
- Infant -
- Kidney - abnormalities
- Kidney - surgery
- Laparoscopy -
- Male -
- Nephrectomy - methods
- Retroperitoneal Space -
- Retrospective Studies -
- Find related publications in this database (Keywords)
- Partial nephrectomy
- Duplex kidney
- Children
- Complications