@article{TP11935,
author = {Ciro Esposito and Maria Escolino and Marco Castagnetti and Antonio Savanelli and Angela La Manna and Alessandra Farina and Francesco Turrà and Agnese Roberti and Alessandro Settimi and Francois Varlet and Holger Till and Jean Stephan Valla},
title = {Retroperitoneal and laparoscopic heminephrectomy in duplex kidney in infants and children},
journal = {Translational Pediatrics},
volume = {5},
number = {4},
year = {2016},
keywords = {},
abstract = {Background: Two main techniques are adopted to perform partial nephrectomy in children: laparoscopy and retroperitoneoscopy. The aim of this paper is to review the larger multicentric experience recently published by our group to review indications, techniques and results of both approaches.
Methods: Data of 102 patients underwent partial nephrectomy in a 5-year period using minimally invasive surgery (MIS) procedures were analyzed. Fifty-two children underwent laparoscopic partial nephrectomy (LPN), and 50 children underwent retroperitoneoscopic partial nephrectomy (RPN). Median age at surgery was 4.2 years. Statistical analysis was performed using χ2 test and Student’s t-test.
Results: The overall complications rate was significantly higher after RPN (15/50, 30%) than after LPN (10/52, 19%) (χ2 =0.05). In LPN group, complications [4 urinomas, 2 symptomatic refluxing distal ureteral stump (RDUS) and 4 urinary leakages] were conservatively managed. In RPN group, complications (6 urinomas, 8 RDUS, 1 opening of remaining calyxes) required a re-operation in 2 patients. In both groups no conversion to open surgery was reported. Operative time (LPN: 166.2 min vs. RPN: 255 min; P},
issn = {2224-4344}, url = {https://tp.amegroups.org/article/view/11935}
}