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[Laparoscopic and open heminephrectomy in children: results comparison]
Khirurgiia
|December 9, 2014
Summary
Laparoscopic heminephrectomy in children offers comparable operative times to open surgery but significantly reduces hospital stays. This minimally invasive approach is a successful alternative for treating kidney duplication anomalies.
Area of Science:
- Pediatric Urology
- Minimally Invasive Surgery
Background:
- Kidney duplication anomalies are common in children.
- Heminephrectomy is a surgical option for non-functioning moieties.
Purpose of the Study:
- To compare laparoscopic and open heminephrectomy outcomes in pediatric kidney duplication.
- Evaluate operative parameters, complications, and recovery.
Main Methods:
- Retrospective analysis of 42 laparoscopic and 20 open heminephrectomies.
- Transperitoneal laparoscopic approach with 3-4 trocars.
- Comparison of demographic, intraoperative, and postoperative data.
Main Results:
- Operative duration was similar: 127 minutes (laparoscopic) vs. 120 minutes (open).
- Laparoscopic group had no intraoperative complications or conversions; open surgery required hemotransfusion in 2 cases.
- Mean hospital stay was shorter for laparoscopic (7.2 days) vs. open (11.5 days) surgery.
Conclusions:
- Laparoscopic transperitoneal heminephrectomy is a safe and effective procedure in children.
- Laparoscopic surgery offers reduced hospital stay compared to open heminephrectomy.
- Comparable operative times suggest feasibility of the laparoscopic approach.
