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SHR Neuro Krebs Kardio Lipid

Esposito, C; Varlet, F; Patkowski, D; Castagnetti, M; Escolino, M; Draghici, IM; Settimi, A; Savanelli, A; Till, H.
Laparoscopic partial nephrectomy in duplex kidneys in infants and children: results of an European multicentric survey.
Surg Endosc. 2015; 29(12):3469-3476
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Autor/innen der Med Uni Graz:
Till Holger
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Abstract:
We aim to report a 5-year retrospective multicentric European survey about the outcome of laparoscopic partial nephrectomy in infants and children with duplex kidneys. The data of fifty-two children underwent laparoscopic partial nephrectomy (42 upper-pole nephrectomies and 10 lower-pole nephrectomies) in six 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 and 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. Median length of surgery was 166.2 min (70-215 min). No conversion to open surgery nor 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. Laparoscopic partial nephrectomy remains a technically challenging procedure performed only in pediatric centers with high experience in minimally invasive surgery. Although the median operative time was higher than 2 h, 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 (using NLM MeSH Indexing)
Child -
Child, Preschool -
Conversion to Open Surgery - statistics & numerical data
Europe -
Female -
Humans -
Infant -
Kidney - abnormalities
Kidney - surgery
Kidney Diseases - surgery
Laparoscopy - methods
Length of Stay -
Male -
Nephrectomy - methods
Operative Time -
Postoperative Complications - etiology
Reoperation - statistics & numerical data
Retrospective Studies -
Specialties, Surgical -
Surveys and Questionnaires -

Find related publications in this database (Keywords)
Laparoscopy
Partial nephrectomy
Children
Heminephrectomy
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