Baja morbilidad en niños operados de nefrectomía con técnica laparoscópica transperitoneal de 3 puertos

Background

Even though laparoscopic nephrectomy is considered the gold standard in renal surgery in the adult, its role in the pediatric population is still a subject of debate. Laparoscopic nephrectomy has been shown to be a safe and effective procedure, compared with the open approach.

Aim

To present a case series of pediatric patients with different renal pathologies treated through transperitoneal laparoscopic nephrectomy.

Material and methods

Twenty-two pediatric patients that underwent transperitoneal laparoscopic nephrectomy were included in the study. All of the cases underwent the 3-port transperitoneal laparoscopic approach.

Results

All the kidneys were satisfactorily removed and the mean surgery duration was 142 min. There were no complications requiring conversion to open surgery in 21 of the 22 cases. Oral diet and ambulation were begun the same day of the surgery for all patients. Twenty of the 21 patients that did not require conversion were released on the second postoperative day.

Conclusions

We report herein on the transperitoneal laparoscopic approach for nephrectomy with the 3-port technique. It can be performed in the pediatric population with the same results and safety as other laparoscopic procedures and is an excellent alternative to traditional open surgery. This procedure should be considered for reducing surgical risk.