TY - JOUR
T1 - Comparison of laparoscopic and open heminephrectomy in treatment of duplex kidney in young children
AU - Kozlov, Yuriy Andreevich
AU - Rasputin, A. A.
AU - Kovalkov, A. A.
AU - Baradieva, P. J.
AU - Ochirov, Ch B.
AU - Rasputina, N. V.
AU - Us, G. P.
AU - Kuznetsova, N. N.
AU - Kononenko, M. I.
AU - Kapuller, V. M.
N1 - Publisher Copyright:
© 2019, Pediatria Ltd. All rights reserved.
PY - 2019/9/1
Y1 - 2019/9/1
N2 - Objective of the research: To compare the results of laparoscopic and open heminephrectomy in children of the first year of life with duplex kidney. Materials and methods: From 2005 to 2018. 48 children aged under 1 year diagnosed with complete duplex kidney were treated in the neonatal surgery department of the City Ivano-Matreninskaya Children's Clinical Hospital. Laparoscopic heminephrectomy was performed in 35 patients (1st group). Open surgery was used in 13 patients (2nd group). The gender composition is represented by 28 boys and 20 girls. Right-sided kidney failure was diagnosed in 28 patients, left-sided in 16 patients, bilaterally in 4 patients. The upper segment was removed in 36 patients, the lower segment in 12 patients. Patient data were analyzed, including demographic, preoperative and postoperative parameters, surgery duration, blood loss, length of hospital stay, complications and treatment outcomes. Results: A comparative analysis of the demographic data of patients showed no significant differences in the studied groups. The mean weight of patients of the 1st group was 5138,71 g, and patients of the 2nd group - 5200 g (p=0,778). The mean age of patients on the day of laparoscopic surgery was 56,97 days and 60,8 days in infants who received standard treatment (p=0,754). The study revealed a significant difference in surgery duration. The duration of laparoscopic surgery was significantly lower (114,6 minutes vs. 153,3 minutes (p=0,001)). Patients discharge after laparoscopic heminephrectomy became possible 3,6 days after surgery and significantly differed from length of stay of patients after open surgery, that was 8,2 days (p=0,001). Urinoma developed in two (5,7%) patients. Patients were observed on average 24,3 months after surgery (3-72 months). Radionuclide renography and Doppler ultrasound did not reveal a decrease in operated kidney function. In the long-term observation period, one patient required a repeated ureterectomy due to urinary tract infection relapse caused by urinary reflux in ureteral stump. One of the patients also underwent reimplantation of ureter of ipsilateral kidney lower segment. Conclusion: Results of laparoscopic heminephrectomy outdo results of open surgery regarding the surgery duration and length of stay in the hospital.
AB - Objective of the research: To compare the results of laparoscopic and open heminephrectomy in children of the first year of life with duplex kidney. Materials and methods: From 2005 to 2018. 48 children aged under 1 year diagnosed with complete duplex kidney were treated in the neonatal surgery department of the City Ivano-Matreninskaya Children's Clinical Hospital. Laparoscopic heminephrectomy was performed in 35 patients (1st group). Open surgery was used in 13 patients (2nd group). The gender composition is represented by 28 boys and 20 girls. Right-sided kidney failure was diagnosed in 28 patients, left-sided in 16 patients, bilaterally in 4 patients. The upper segment was removed in 36 patients, the lower segment in 12 patients. Patient data were analyzed, including demographic, preoperative and postoperative parameters, surgery duration, blood loss, length of hospital stay, complications and treatment outcomes. Results: A comparative analysis of the demographic data of patients showed no significant differences in the studied groups. The mean weight of patients of the 1st group was 5138,71 g, and patients of the 2nd group - 5200 g (p=0,778). The mean age of patients on the day of laparoscopic surgery was 56,97 days and 60,8 days in infants who received standard treatment (p=0,754). The study revealed a significant difference in surgery duration. The duration of laparoscopic surgery was significantly lower (114,6 minutes vs. 153,3 minutes (p=0,001)). Patients discharge after laparoscopic heminephrectomy became possible 3,6 days after surgery and significantly differed from length of stay of patients after open surgery, that was 8,2 days (p=0,001). Urinoma developed in two (5,7%) patients. Patients were observed on average 24,3 months after surgery (3-72 months). Radionuclide renography and Doppler ultrasound did not reveal a decrease in operated kidney function. In the long-term observation period, one patient required a repeated ureterectomy due to urinary tract infection relapse caused by urinary reflux in ureteral stump. One of the patients also underwent reimplantation of ureter of ipsilateral kidney lower segment. Conclusion: Results of laparoscopic heminephrectomy outdo results of open surgery regarding the surgery duration and length of stay in the hospital.
KW - Children
KW - Duplex kidney
KW - Heminephrectomy
UR - https://www.scopus.com/pages/publications/85075789884
U2 - 10.24110/0031-403X-2019-98-5-26-33
DO - 10.24110/0031-403X-2019-98-5-26-33
M3 - Article
AN - SCOPUS:85075789884
SN - 0031-403X
VL - 98
SP - 26
EP - 33
JO - Pediatriya - Zhurnal im G.N. Speranskogo
JF - Pediatriya - Zhurnal im G.N. Speranskogo
IS - 5
ER -