Laparoscopic nephrectomies and kidney resections in children

• Published in: Hirurgija (Moskva) no. 7; p. 61
• Main Authors: Merkulov, N N, Akhaladze, D G, Rabaev, G S, Tverdov, I V, Pavlushin, P M, Minnullin, M M, Kachanov, D Yu, Grachev, N S
• Format: Journal Article
• Language: English; Russian
• Published: Russia (Federation) 2024
• Subjects: Blood Loss, Surgical - statistics & numerical data; Child; Child, Preschool; Female; Humans; Kidney - surgery; Kidney Neoplasms - pathology; Kidney Neoplasms - surgery; Laparoscopy - adverse effects; Laparoscopy - methods; Male; Nephrectomy - adverse effects; Nephrectomy - methods; Operative Time; Outcome and Process Assessment, Health Care; Postoperative Complications - epidemiology; Postoperative Complications - etiology; Russia - epidemiology; Treatment Outcome; Russia; laparoscopic kidney resection; nephroblastoma; laparoscopic nephrectomy; children; Wilms tumor
• ISSN: 0023-1207
• DOI: 10.17116/hirurgia202407161

To present the experience of laparoscopic nephrectomies and kidney resections in children.
There were 28 minimally invasive surgeries for renal tumors between July 2015 and March 2023 (92 months). There were 16 (57%) boys and 12 (43%) girls who underwent 22 nephrectomies and 6 kidney resections. The median age of patients was 54 (38; 76.5) months.
In the laparoscopic nephrectomy group, the median surgery time was 135 (108-188) min, blood loss - 10 (3.75-15) ml. Total resection was confirmed in all patients. In the group of minimally invasive kidney resections, these values were 182.5 (157.5; 265) min and 50 (42.5; 117.5) ml, respectively. Histological examination confirmed total resection in all patients. In both groups, none patient developed postoperative complications. Event-free survival was 86.72% with a median follow-up of 82 months, and local recurrence-free survival was 95.8% with a median follow-up of 89.8 months.
Minimally invasive nephrectomies and resections are safe in children in case of careful patient selection.