Laparoendoscopic single-site nephrectomy in pediatric patients

Initial clinical series of infants to adolescents

Chester J. Koh, Roger E. De Filippo, Andy Y. Chang, Brian E. Hardy, Andre Berger, Manuel Eisenberg, Mukul Patil, Monish Aron, Inderbir S. Gill, Mihir M. Desai

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

Objectives To present our initial clinical series of laparoendoscopic single-site (LESS) nephrectomy using an umbilical incision in children ranging from infants to adolescents. Laparoscopic surgery in pediatric urology is increasingly being performed for many intra-abdominal ablative procedures, such as nephrectomy for poorly functioning kidneys. We have previously reported our initial experience with LESS surgery in the adult population. Methods A total of 11 pediatric patients (age range 0.1-16.2 years, mean 5.7) underwent LESS nephrectomy using an umbilical incision. The perioperative clinical parameters were reviewed retrospectively. Results The 11 LESS pediatric nephrectomies were technically successful without conversion to conventional laparoscopy or open surgery. An accessory port was used in 5 of the cases early in the clinical series. Of the 11 patients, 2 were infants, aged 39 days and 3.5 months. The mean operative time was 139 minutes (range 85-205), and the mean hospital stay was 1.5 days (range 1.0-2.1). Complications included delayed hydrocele formation in 2 male patients. Conclusions The results of our study have shown that LESS nephrectomy using a single umbilical incision in pediatric patients is technically feasible with good outcomes. Additional studies are needed to evaluate the expected benefits of this novel technique. Also, miniaturization of currently available equipment is needed to adapt to the small working spaces available in the pediatric patient.

Original languageEnglish (US)
Pages (from-to)1475-1477
Number of pages3
JournalUrology
Volume76
Issue number6
DOIs
StatePublished - Dec 2010
Externally publishedYes

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Nephrectomy
Umbilicus
Pediatrics
Laparoscopy
Miniaturization
Urology
Operative Time
Length of Stay
Kidney
Equipment and Supplies
Population

ASJC Scopus subject areas

  • Urology

Cite this

Koh, C. J., De Filippo, R. E., Chang, A. Y., Hardy, B. E., Berger, A., Eisenberg, M., ... Desai, M. M. (2010). Laparoendoscopic single-site nephrectomy in pediatric patients: Initial clinical series of infants to adolescents. Urology, 76(6), 1475-1477. https://doi.org/10.1016/j.urology.2010.03.043

Laparoendoscopic single-site nephrectomy in pediatric patients : Initial clinical series of infants to adolescents. / Koh, Chester J.; De Filippo, Roger E.; Chang, Andy Y.; Hardy, Brian E.; Berger, Andre; Eisenberg, Manuel; Patil, Mukul; Aron, Monish; Gill, Inderbir S.; Desai, Mihir M.

In: Urology, Vol. 76, No. 6, 12.2010, p. 1475-1477.

Research output: Contribution to journalArticle

Koh, CJ, De Filippo, RE, Chang, AY, Hardy, BE, Berger, A, Eisenberg, M, Patil, M, Aron, M, Gill, IS & Desai, MM 2010, 'Laparoendoscopic single-site nephrectomy in pediatric patients: Initial clinical series of infants to adolescents', Urology, vol. 76, no. 6, pp. 1475-1477. https://doi.org/10.1016/j.urology.2010.03.043
Koh, Chester J. ; De Filippo, Roger E. ; Chang, Andy Y. ; Hardy, Brian E. ; Berger, Andre ; Eisenberg, Manuel ; Patil, Mukul ; Aron, Monish ; Gill, Inderbir S. ; Desai, Mihir M. / Laparoendoscopic single-site nephrectomy in pediatric patients : Initial clinical series of infants to adolescents. In: Urology. 2010 ; Vol. 76, No. 6. pp. 1475-1477.
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