Minimally invasive pediatric nephrectomy.

Abstract:

PURPOSE OF REVIEW:Since the first laparoscopic pediatric nephrectomy was performed in 1992, many articles have reported the feasibility of minimally invasive nephrectomy, heminephrectomy, and nephroureterectomy in children. This article reviews the literature related to minimally invasive nephrectomy, including robot-assisted surgery, and its complications published between November 2002 and November 2004. RECENT FINDINGS:The retroperitoneoscopic approach to nephrectomy and nephroureterectomy continues to prove successful in the pediatric population, although the transperitoneal approach is beneficial in combined upper and lower tract procedures. Initial reports on bilateral transperitoneal nephrectomy for nephrotic syndrome and laparoscopic nephrectomy for Wilms tumor are presented. Comparison studies between laparoscopic nephrectomy and open procedures are reviewed. Robot-assisted procedures are possible in children but little information is available on their pediatric use at the present time. Laparoscopy in children appears to have a similar complication rate to that in adults. SUMMARY:More studies are needed to compare the outcomes of minimally invasive procedures with those of open procedures. Robot-assisted surgery offers promise but expense currently limits its use.

journal_name

Curr Opin Urol

authors

Harrell WB,Snow BW

doi

10.1097/01.mou.0000172404.77514.9c

subject

Has Abstract

pub_date

2005-07-01 00:00:00

pages

277-81

issue

4

eissn

0963-0643

issn

1473-6586

pii

00042307-200507000-00016

journal_volume

15

pub_type

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