[Laparoscopic nephrectomies and kidney resections in children].

Q4 Medicine

Khirurgiya Pub Date : 2024-01-01 DOI:10.17116/hirurgia202407161

N N Merkulov, D G Akhaladze, G S Rabaev, I V Tverdov, P M Pavlushin, M M Minnullin, D Yu Kachanov, N S Grachev

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引用次数: 0

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.

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[腹腔镜儿童肾切除术]。

目的：介绍儿童腹腔镜肾切除术和肾脏切除术的经验：介绍儿童腹腔镜肾切除术和肾脏切除术的经验：2015年7月至2023年3月（92个月）期间，共有28例肾脏肿瘤微创手术。其中16名男孩（57%）和12名女孩（43%）接受了22例肾切除术和6例肾切除术。患者的中位年龄为54（38；76.5）个月：腹腔镜肾切除术组的中位手术时间为 135 (108-188) 分钟，失血量为 10 (3.75-15) 毫升。所有患者均确认全切除。在微创肾切除术组中，上述数值分别为 182.5 (157.5; 265) 分钟和 50 (42.5; 117.5) 毫升。组织学检查证实，所有患者都进行了全切除。两组患者均未出现术后并发症。无事件生存率为86.72%，中位随访时间为82个月；无局部复发生存率为95.8%，中位随访时间为89.8个月：结论：在谨慎选择患者的情况下，微创肾切除术对儿童是安全的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Khirurgiya Medicine-Medicine (all)

CiteScore

0.70

自引率

0.00%

发文量

161

期刊介绍： Хирургия отдельных областей сердце, сосуды легкие пищевод молочная железа желудок и двенадцатиперстная кишка кишечник желчевыводящие пути печень