Khirurgiia (Mosk). 2024;(7):61-72. doi: 10.17116/hirurgia202407161.
ABSTRACT
OBJECTIVE: To present the experience of laparoscopic nephrectomies and kidney resections in children.
MATERIAL AND METHODS: 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.
PMID:39008698 | DOI:10.17116/hirurgia202407161
