[Laparoscopic nephrectomies and kidney resections in children].
N N Merkulov1, D G Akhaladze1, G S Rabaev1
1Dmitry Rogachev National Medical Research Center for Pediatric Hematology, Oncology and Immunology, Moscow, Russia.
Khirurgiia
|July 15, 2024
Summary
Minimally invasive laparoscopic nephrectomies and kidney resections are safe and effective for pediatric renal tumors. Careful patient selection ensures successful outcomes with no postoperative complications.
Area of Science:
- Pediatric Surgery
- Urology
- Minimally Invasive Surgery
Context:
- Renal tumors in children present unique surgical challenges.
- Minimally invasive techniques are increasingly adopted in pediatric oncology.
- Laparoscopic approaches offer potential benefits over open surgery.
Purpose:
- To evaluate the safety and efficacy of laparoscopic nephrectomies and kidney resections in pediatric patients with renal tumors.
- To present surgical outcomes, including operative time, blood loss, and complication rates.
- To assess oncological outcomes such as event-free and recurrence-free survival.
Summary:
- A retrospective review of 28 minimally invasive surgeries for renal tumors in children (July 2015-March 2023).
- Included 22 laparoscopic nephrectomies and 6 kidney resections; median patient age was 54 months.
- All procedures achieved complete tumor resection with no postoperative complications. Event-free survival was 86.72% and local recurrence-free survival was 95.8%.
Impact:
- Demonstrates that minimally invasive nephrectomies and resections are safe and effective in pediatric patients.
- Highlights the feasibility of laparoscopic surgery for renal tumors in children.
- Supports the use of careful patient selection for optimal outcomes in pediatric urologic oncology.
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