[Laparoscopic nephrectomies and kidney resections in children]. / Nachal'nyi opyt laparoskopicheskikh nefrektomii i rezektsii pochek u detei.
Khirurgiia (Mosk)
; (7): 61-72, 2024.
Article
em Ru
| MEDLINE
| ID: mdl-39008698
ABSTRACT
OBJECTIVE:
To present the experience of laparoscopic nephrectomies and kidney resections in children. MATERIAL ANDMETHODS:
There were 28 minimally invasive surgeries for renal tumors between July 2015 and March 2023 (92 months). There were 16 (57%) boys and 12 (43%) girls who underwent 22 nephrectomies and 6 kidney resections. The median age of patients was 54 (38; 76.5) months.RESULTS:
In the laparoscopic nephrectomy group, the median surgery time was 135 (108-188) min, blood loss - 10 (3.75-15) ml. Total resection was confirmed in all patients. In the group of minimally invasive kidney resections, these values were 182.5 (157.5; 265) min and 50 (42.5; 117.5) ml, respectively. Histological examination confirmed total resection in all patients. In both groups, none patient developed postoperative complications. Event-free survival was 86.72% with a median follow-up of 82 months, and local recurrence-free survival was 95.8% with a median follow-up of 89.8 months.CONCLUSION:
Minimally invasive nephrectomies and resections are safe in children in case of careful patient selection.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Laparoscopia
/
Rim
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Neoplasias Renais
/
Nefrectomia
Limite:
Child
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Child, preschool
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Female
/
Humans
/
Male
País como assunto:
Asia
/
Europa
Idioma:
Ru
Ano de publicação:
2024
Tipo de documento:
Article