Year: 2019
Type: article
Study design: Observational Study
Abstract: Purpose: To determine efficacy and safety of initial experience of laparoscopic nephrectomy in pediatric age group for removal of kidneys for benign conditions.In past few years laparoscopic mode of surgery has penetrated most of the specialties in adult age group.However recently, with modifications of these adult laparoscopic methodologies in pediatric age group have led to successful application of laparoscopic mode of surgery even in children.Aim of this study was to share initial experience in children with this newly adopted minimally invasive surgery.Methods: Retrospective analysis of the data was done in pediatric patients who underwent laparoscopic nephrectomy at Shifa International Hospital from 2015 till 2017.Data regarding age, gender, indication for surgery, laterality, meanoperative time,hospital stay and complications was collected by urology residents and recorded on specified proforma.Data was analyzed on SPSS version 16.Results: Total of 13 children were followed after laparoscopic nephrectomy procedure for removal of nonfunctioning kidney.Mean weight was 27.5 kg and height ranged from 67-137 cm (mean: 99.4 ± 17.7 cm).There were 5 boys (38.4%) and 8 girls (61.6%).Their mean age was 9.78 years.Mean operative time was 173 minutes while mean hospital stay was 3.4 days.One case was converted to open surgery.Conclusion: Laparoscopic nephrectomy for benign conditions can be safely adopted in new centers of pediatric urology with minimal morbidity and satisfactory outcomes.
Source: ARC Journal of Urology
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4237200375