Pediatric transumbilical laparoendoscopic single-site nephroureterectomy: initial report.

Abstract:

OBJECTIVE:To present a case of laparoendoscopic single-site surgery (LESS) nephroureterectomy (NUx), a type of embroyonic natural orifice translumenal endoscopic surgery, which is one of the recent innovations in the era of laparoscopy, in a child. METHODS:A 10-year-old girl underwent left nephroureterectomy by LESS due to end-stage reflux nephropathy on December 25, 2008. The surgery is performed transperitoneally, through a 2-cm semicircular incision in the left inner curve of the umbilicus using three 5-mm trocars. NUx with LESS was performed duplicating standard laparoscopic steps with the help of flexible and straight laparoscopic instruments. RESULTS:Operation time was 140 minutes and the blood loss was minimal. There was no intraoperative or postoperative complication. The patient was discharged at the 24th postoperative hour. The postoperative cosmetic result was excellent as the incision scar was hidden inside the belly button. CONCLUSIONS:NUx with LESS is a feasible technique with the advantages of less pain, shortened convalescence, improved cosmesis, and absence of wound complications in children. However, clear indications of LESS in children remain to be clarified.

journal_name

Urology

journal_title

Urology

authors

Bayazit Y,Aridogan IA,Abat D,Satar N,Doran S

doi

10.1016/j.urology.2009.05.096

subject

Has Abstract

pub_date

2009-11-01 00:00:00

pages

1116-9

issue

5

eissn

0090-4295

issn

1527-9995

pii

S0090-4295(09)00903-0

journal_volume

74

pub_type

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