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Titolo:
Laparoscopic retroperitoneal renal and adrenal surgery in children
Autore:
Shanberg, AM; Sanderson, K; Rajpoot, D; Duel, B;
Indirizzi:
Univ Calif Irvine, Irvine Med Ctr, Antoci Ctr Paediat Urol & Nephrol, Orange, CA 92868 USA Univ Calif Irvine Orange CA USA 92868 rol & Nephrol, Orange, CA 92868 USA
Titolo Testata:
BJU INTERNATIONAL
fascicolo: 6, volume: 87, anno: 2001,
pagine: 521 - 524
SICI:
1464-4096(200104)87:6<521:LRRAAS>2.0.ZU;2-3
Fonte:
ISI
Lingua:
ENG
Soggetto:
NEPHRECTOMY; NEPHROURETERECTOMY; TRANSPERITONEAL; ENDOUROLOGY;
Keywords:
laparoscopy; nephrectomy; adrenalectomy; outcome; children;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
15
Recensione:
Indirizzi per estratti:
Indirizzo: Shanberg, AM Univ Calif Irvine, Irvine Med Ctr, Antoci Ctr Paediat Urol & Nephrol, 101 City Dr,Bldg 3,Room 367, Orange, CA 92868 USA Univ Calif Irvine 101 City Dr,Bldg 3,Room 367 Orange CA USA 92868
Citazione:
A.M. Shanberg et al., "Laparoscopic retroperitoneal renal and adrenal surgery in children", BJU INT, 87(6), 2001, pp. 521-524

Abstract

Objective To retrospectively assess the use of a retroperitoneal laparoscopic approach for simple nephrectomy and adrenalectomy in children. Patients and methods All retroperitoneal laparoscopic renal and adrenal procedures carried out in children and completed between 1993 and March 2000 were reviewed retrospectively. Analgesic requirements, hospital stay, complications and blood loss were reviewed. The technique is described in detail. Results Forty-eight retroperitoneal laparoscopic procedures were completedin 48 patients (mean age 5.5 years, range 0.5-16). The procedures includednephrectomy (22), nephroureterectomy (15), renal biopsy (six). cyst ablation (two) and simple adrenalectomy (three). In all. 11 procedures were undertaken in children aged <2 years, Forty-one (91%) of the children undergoingrenal procedures were discharged in < 24 h, Two patients underwent three adrenalectomies. Two children required conversion to open surgery, one undergoing a right-sided adrenalectomy and one a nephrectomy, The mean operativeduration for nephrectomy and nephroureterectomy was 75 min, and for adrenalectomy was 115 min. Conclusion Renal and adrenal surgery in children is a safe and rapid procedure with retroperitoneal laparoscopy. The operative duration for nephrectomy and nephroureterectomy are frequently <1 h. In addition, laparoscopic surgery offers significant advantages in terms of cosmesis and a quicker recovery.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 19/01/20 alle ore 20:40:16