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RETROPERITONEAL LAPAROSCOPIC NEPHRECTOMY IN CHILDREN

1998; Lippincott Williams & Wilkins; Volume: 160; Issue: 3 Part 2 Linguagem: Inglês

10.1016/s0022-5347(01)62720-4

1527-3792

Kathleen C. Kobashi, DAVID A. CHAMBERLIN, DEEPAK RAJPOOT, Allan M. Shanberg,

Kidney Stones and Urolithiasis Treatments

No AccessJournal of UrologyLaparoscopy1 Sep 1998RETROPERITONEAL LAPAROSCOPIC NEPHRECTOMY IN CHILDREN KATHLEEN C. KOBASHI, DAVID A. CHAMBERLIN, DEEPAK RAJPOOT, and ALLAN M. SHANBERG KATHLEEN C. KOBASHIKATHLEEN C. KOBASHI More articles by this author , DAVID A. CHAMBERLINDAVID A. CHAMBERLIN More articles by this author , DEEPAK RAJPOOTDEEPAK RAJPOOT More articles by this author , and ALLAN M. SHANBERGALLAN M. SHANBERG More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)62720-4AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We report our experience with retroperitoneal laparoscopic nephrectomy and nephroureterectomy in children, and describe our surgical technique. Materials and Methods: Five and 15 children 9 months to 17 years old underwent nephrectomy with cystoscopy plus intravesical ureteral stump fulguration for ureteral ablation and nephrectomy only, respectively. Surgical indications were unilateral multicystic dysplastic kidney in 8 cases (parental preference for surgery), a refluxing, chronic pyelonephritic kidney in 5, renal vascular hypertension in 2, and hydronephrosis and chronic pyelonephritis in 5, including 3 in whom a nephrostomy tube was placed percutaneously before laparoscopic nephrectomy. Access was obtained by a 10 mm. incision made posterior to the anterosuperior iliac spine with dissection into the retroperitoneal space and trochar placement. Two and sometimes 3 additional 5 mm. ports were placed retroperitoneally. Results: Average operative time was 1 hour 42 minutes. The most recent cases were performed in less than 1 hour and in 3 nephrectomy only required 30 minutes. All but 1 procedure were completed laparoscopically. One case was converted to open surgery secondary to obscured visibility due to bleeding. Blood loss in all cases was less than 30 cc (average 5 to 10). A total of 13 children were discharged home immediately postoperatively. Five children underwent concomitant procedures, including contralateral ureteroneocystotomy in 4, circumcision in 1 and cystoscopic fulguration of the ureteral stump in 5. Those who underwent ureteral reimplantation were hospitalized for 48 hours. One patient remained hospitalized for 3 days due to fever of unknown origin and 2 were admitted to the hospital for 23-hour observation. All children returned to full activity within 1 week of surgery. Analgesia consisted of 1 dose of ketorolac, bupivacaine injections at the incisional sites at the completion of the procedure, and acetaminophen postoperatively. Conclusions: As confirmed by parent questionnaire, patient satisfaction was excellent. References 1 : Retroperitoneal nephrectomy comparison of laparoscopy with open surgery. World J. Urol.1996; 20: 713. Google Scholar 2 : Retroperitoneal laparoscopic nephrectomy in children: preliminary report of 18 cases. Eur. Urol.1996; 30: 490. Google Scholar 3 : Laparoscopic renal surgery in children. J. Urol.1994; 151: 735. Link, Google Scholar 4 : Retroperitoneal laparoscopic nephrectomy in children. J. Urol.1995; 153: 1966. Link, Google Scholar 5 : Laparoscopic retroperitoneal partial nephrectomy. J. Urol.1994; 152: 1539. Link, Google Scholar 6 : Laparoscopic nephrectomy via the retroperitoneal approach. J. Urol.1996; 156: 110. Google Scholar 7 : Laparoscopic nephroureterectomy in the child: initial case report. J. Urol.1994; 151: 740. Link, Google Scholar 8 : Improved technique of laparoscopic nephrectomy for multicystic dysplastic kidney. Urology1994; 44: 422. Google Scholar From the Divisions of Urology and Pediatric Nephrology, University of California-Irvine, Orange and Tower Urology Institute for Continence, Los Angeles, California© 1998 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byWATERMAN B, ROBINSON B, SNOW B, CARTWRIGHT P and HAMILTON B (2018) Pneumothorax in Pediatric Patients After Urological Laparoscopic Surgery: Experience With 4 PatientsJournal of Urology, VOL. 171, NO. 3, (1256-1259), Online publication date: 1-Mar-2004.Borzi P and Yeung C (2018) Selective Approach for Transperitoneal and Extraperitoneal Endoscopic Nephrectomy in ChildrenJournal of Urology, VOL. 171, NO. 2, (814-816), Online publication date: 1-Feb-2004.CAPOLICCHIO J, JEDNAK R, ANIDJAR M and PIPPI-SALLE J (2018) A Modified Access Technique for Retroperitoneoscopic Renal Surgery in ChildrenJournal of Urology, VOL. 170, NO. 1, (204-206), Online publication date: 1-Jul-2003.ROBINSON B, SNOW B, CARTWRIGHT P, de VRIES C, HAMILTON B and ANDERSON J (2018) Comparison of Laparoscopic Versus Open Partial Nephrectomy in a Pediatric SeriesJournal of Urology, VOL. 169, NO. 2, (638-640), Online publication date: 1-Feb-2003.EL-GHONEIMI A, SAUTY L, MAINTENANT J, MACHER M, LOTTMANN H and AIGRAIN Y (2018) LAPAROSCOPIC RETROPERITONEAL NEPHRECTOMY IN HIGH RISK CHILDRENJournal of Urology, VOL. 164, NO. 3 Part 2, (1076-1079), Online publication date: 1-Sep-2000.HAMILTON B, GATTI J, CARTWRIGHT P and SNOW B (2018) COMPARISON OF LAPAROSCOPIC VERSUS OPEN NEPHRECTOMY IN THE PEDIATRIC POPULATIONJournal of Urology, VOL. 163, NO. 3, (937-939), Online publication date: 1-Mar-2000. (2018) EDITORIAL COMMENTJournal of Urology, VOL. 162, NO. 5, (1730-1730), Online publication date: 1-Nov-1999. Volume 160Issue 3 Part 2September 1998Page: 1142-1144 Advertisement Copyright & Permissions© 1998 by American Urological Association, Inc.MetricsAuthor Information KATHLEEN C. KOBASHI More articles by this author DAVID A. CHAMBERLIN More articles by this author DEEPAK RAJPOOT More articles by this author ALLAN M. SHANBERG More articles by this author Expand All Advertisement PDF downloadLoading ...