LAPAROSCOPIC RENAL SURGERY VIA A RETROPERITONEAL APPROACH IN CHILDREN

Abstract

No AccessJournal of UrologyLaparoscopy1 Sep 1998LAPAROSCOPIC RENAL SURGERY VIA A RETROPERITONEAL APPROACH IN CHILDREN ALAA EL-GHONEIMI, JEAN S. VALLA, HENRI STEYAERT, and YVES AIGRAIN ALAA EL-GHONEIMIALAA EL-GHONEIMI More articles by this author , JEAN S. VALLAJEAN S. VALLA More articles by this author , HENRI STEYAERTHENRI STEYAERT More articles by this author , and YVES AIGRAINYVES AIGRAIN More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)62719-8AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Laparoscopic procedures are still not widely performed by pediatric urologists due to operative time and costs as well as the lack of indications and, thus, the lack of sufficient surgeon experience. We report our experience with the retroperitoneal approach using special inexpensive methods for various indications in children. Materials and Methods: From 1994 to 1997 we performed 42 retroperitoneal laparoscopic procedures in 41 children with a mean age of 4 years, including 31 nephrectomies, 8 partial nephrectomies, 2 renal cystectomies and 1 pyelolithotomy. A total of 13 patients were younger than 1 year. Followup ranged from 6 months to 3 years. Results: Mean operative time was 104 minutes (range 35 to 150) for nephrectomy, 153 (range 90 to 210) for upper pole nephroureterectomy, 135 for pyelolithotomy and 60 for renal cystectomy. Average postoperative stay was 2 days. Conversion was required in 2 cases of partial nephrectomy due to unidentified polar vessels, including 1 involving duodenal perforation. Conclusions: The indications for retroperitoneal laparoscopy are expanding with the experience of the surgical team. The retroperitoneal approach provides a technique comparable to that of conventional renal surgery. References 1 : Pediatric laparoscopy: prudence please. J. Urol.1994; 151: 742. 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Link, Google Scholar From the Departments of Pediatric Surgery and Urology, Hopital Lenval, Nice and Hopital Robert Debre, Paris, France© 1998 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited bySzymanski K, Bitzan M and Capolicchio J (2010) Is Retroperitoneoscopy the Gold Standard for Endoscopic Nephrectomy in Children on Peritoneal Dialysis?Journal of Urology, VOL. 184, NO. 4S, (1631-1637), Online publication date: 1-Oct-2010.Lee R, Sethi A, Passerotti C, Retik A, Borer J, Nguyen H and Peters C (2008) Robot Assisted Laparoscopic Partial Nephrectomy: A Viable and Safe Option in ChildrenJournal of Urology, VOL. 181, NO. 2, (823-829), Online publication date: 1-Feb-2009.Yucel S, Brown B, Bush N, Ahmad N and Baker L (2007) What to Anticipate With Experience in Pediatric Laparoscopic Ablative Renal SurgeryJournal of Urology, VOL. 179, NO. 2, (697-702), Online publication date: 1-Feb-2008.Castellan M, Gosalbez R, Carmack A, Prieto J, Perez-Brayfield M and Labbie A (2018) Transperitoneal and Retroperitoneal Laparoscopic Heminephrectomy—What Approach for Which Patient?Journal of Urology, VOL. 176, NO. 6, (2636-2639), Online publication date: 1-Dec-2006.Jesch N, Metzelder M, Kuebler J and Ure B (2018) Laparoscopic Transperitoneal Nephrectomy is Feasible in the First Year of Life and is Not Affected by Kidney SizeJournal of Urology, VOL. 176, NO. 3, (1177-1179), Online publication date: 1-Sep-2006.Wallis M, Khoury A, Lorenzo A, Pippi-Salle J, Bägli D and Farhat W (2018) Outcome Analysis of Retroperitoneal Laparoscopic Heminephrectomy in ChildrenJournal of Urology, VOL. 175, NO. 6, (2277-2282), Online publication date: 1-Jun-2006.LEE R, RETIK A, BORER J, DIAMOND D and PETERS C (2018) PEDIATRIC RETROPERITONEAL LAPAROSCOPIC PARTIAL NEPHRECTOMY: COMPARISON WITH AN AGE MATCHED COHORT OF OPEN SURGERYJournal of Urology, VOL. 174, NO. 2, (708-712), Online publication date: 1-Aug-2005.GUPTA N, GOEL R, HEMAL A, DOGRA P, SETH A, ARON M, KUMAR R and ANSARI M (2018) SHOULD RETROPERITONEOSCOPIC NEPHRECTOMY BE THE STANDARD OF CARE FOR BENIGN NONFUNCTIONING KIDNEYS? 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Volume 160Issue 3 Part 2September 1998Page: 1138-1141 Advertisement Copyright & Permissions© 1998 by American Urological Association, Inc.MetricsAuthor Information ALAA EL-GHONEIMI More articles by this author JEAN S. VALLA More articles by this author HENRI STEYAERT More articles by this author YVES AIGRAIN More articles by this author Expand All Advertisement PDF downloadLoading ...