Comparison of laparoscopic versus open nephrectomy in the pediatric population.
Comparison of laparoscopic versus open nephrectomy in the pediatric population.
复制标题
腹腔镜肾切除术与开腹肾切除术在儿科人群中的比较。
DOI：
10.1016/s0022-5347(05)67856-1
复制
发表时间：
2000
影响因子：
6.6
通讯作者：
B. Snow
中科院分区：
文献类型：
--
作者：
B. Hamilton;J. Gatti;P. Cartwright;B. Snow
PurposeLaparoscopic renal surgery has become an accepted approach for benign disease in adults. We compare our experience with laparoscopic and open nephrectomy in a pediatric population.Materials and MethodsA total of 10 pediatric patients underwent laparoscopic nephrectomy or nephroureterectomy and an additional 10 consecutive children underwent similar open procedures. All patients had benign disease and were treated at a single institution. Medical records were reviewed retrospectively for relevant clinical data.ResultsPlanned surgery was completed in all cases. There were no conversions to open surgery in the laparoscopic group. Mean operative time was 175.6 versus 120.2 minutes (p = 0.01) and mean hospital stay was 22.5 versus 41.3 hours (p = 0.03) in the laparoscopic and open nephrectomy groups, respectively. Blood loss was not statistically different. Analgesic use was qualitatively less in the laparoscopic nephrectomy group.ConclusionsLaparoscopic nephrectomy and nephroureterectomy may be performed safely in children. While operative time was somewhat longer in our initial laparoscopic series, postoperative hospital stay was significantly shorter than for open surgery. Further experience with this technique is warranted.
