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SHR Neuro Cancer Cardio Lipid Metab Microb

Esposito, C; Varlet, F; Patkowski, D; Castagnetti, M; Escolino, M; Draghici, IM; Settimi, A; Savanelli, A; Iaquinto, M; La Manna, A; Till, H.
Laparoscopic Partial Nephrectomy in Duplex Kidneys in Infants and Children. Results of a European Multicentric Survey
E-MEM ACAD NATL CHIR. 2015; 14(2): 59-63.
Web of Science

Co-authors Med Uni Graz: Till Holger
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Abstract:: Objective: We aim to report a 5-years retrospective multicentric European survey about the outcome of laparoscopic partial nephrectomy in infants and children with duplex kidneys. Methods: The data of fifty-two children underwent laparoscopic partial nephrectomy (42 upper-pole nephrectomies [UPN] and 10 lower pole nephrectomies [LoPN]) in 6 European centers of Pediatric Surgery, were collected and analyzed. Median age at surgery was 5.1 years (range 6 months - 9.7 years). There were 32 girls and 20 boys. In 37 patients the left side was affected and in 15 patients the right side. For the right side 4 trocars were used, for the left side 3/4 trocars. Special hemostatic devices were used for dissection and parenchymal section in all centers. We assessed intraoperative and postoperative morbidity. R esults: Median length of surgery was 166.2 min (70 - 215 min). No conversion to open surgery neither intraoperative bleeding was reported. Mean hospitalization was 3.5 days. We recorded 10/52 complications (4 urinomas, 2 recurrent UTIs, 4 prolonged urinary leakage), all managed conservatively. Reoperation rate was 0%. No loss of renal function on the residual kidney moiety was recorded in all operated patients. Conclusions: Laparoscopic partial nephrectomy remains a technically challenging procedure performed only in pediatric centers with high experience in minimally-invasive surgery (MIS). Despite the median operative time was higher than 2 hours, we recorded no conversions in our series. The complication rate remains high (10/52 - 19.2%). All were II grade complications according to Clavien-Dindo classification and were treated conservatively without the need of other surgical procedures.
Find related publications in this database (Keywords): Laparoscopy; Partial nephrectomy; Children; Heminephrectomy