caa a22 4500 475781074 CHVBK 20180406123644.0 cr unu---uuuuu 170329e20000501xx s 000 0 eng 10.1007/s004640000081 doi (NATIONALLICENCE)springer-10.1007/s004640000081 Laparoscopic nephrectomy in childrenrid=""id=""Presented in poster format at the annual meeting of the Society of American Gastrointestinal Endoscopic Surgeons (SAGES), San Antonio, Texas, USA, 24&ndash;27 March 1999 [Elektronische Daten] [G. B. York, F. M. Robertson, B. R. Cofer, M. D. Bomalaski, S. C. Lynch] Background: Laparoscopic nephrectomy in the adult population is reported with increased frequency. We present our initial experience with laparoscopic nephrectomy in children. Methods: Over a 2-year period, 11 nephrectomies were performed in nine children aged 16 months to 16 years (mean, 6.5 years). All patients were referred due to complications of a nonfunctioning kidney. Seven patients had recurrent urinary tract infections, and two had refractory hypertension. Two patients underwent bilateral laparoscopic nephrectomy. The operation was performed using four access ports measuring 3.5 to 10 mm. Results: All kidneys were removed successfully using a laparoscopic technique. The average length of the operation was 163 min per kidney (range, 90-420). The estimated blood loss was <10-150 ml (mean, 45). No patient required transfusion. Seven patients were discharged home by postoperative day 2. The two patients with the longest operating times were discharged home on postoperative days 4 and 5 due to delay in return of bowel function. Narcotic use was minimal, and all patients enjoyed a rapid return to full activity. Conclusion: Laparoscopic nephrectomy is a viable alternative to open nephrectomy in children. Further experience with this technique is required to establish its efficacy and reduce the operating time Springer-Verlag New York Inc., 2000 Key words: Children — Laparoscopic nephrectomy — Laparoscopy — Nephrectomy — Pediatric surgery nationallicence York G. B. Department of General Surgery, 59 MDW/MMKG, 2200 Bergquist Drive, Ste. 1, Wilford Hall Medical Center, Lackland AFB, TX 78236, USA, US aut Robertson F. M. Division of Pediatric Surgery, Wilford Hall Medical Center, Lackland AFB, TX 78236, USA, US aut Cofer B. R. Division of Pediatric Surgery, Wilford Hall Medical Center, Lackland AFB, TX 78236, USA, US aut Bomalaski M. D. Division of Pediatric Urology, Wilford Hall Medical Center, Lackland AFB, TX 78236, USA, US aut Lynch S. C. Department of Urology, Wilford Hall Medical Center, Lackland AFB, TX 78236, USA, US aut Surgical Endoscopy Springer-Verlag 14/5(2000-05-01), 469-472 0930-2794 14:5<469 2000 14 464 https://doi.org/10.1007/s004640000081 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004640000081 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- York G. B. Department of General Surgery, 59 MDW/MMKG, 2200 Bergquist Drive, Ste. 1, Wilford Hall Medical Center, Lackland AFB, TX 78236, USA, US aut NATIONALLICENCE 700 1- Robertson F. M. Division of Pediatric Surgery, Wilford Hall Medical Center, Lackland AFB, TX 78236, USA, US aut NATIONALLICENCE 700 1- Cofer B. R. Division of Pediatric Surgery, Wilford Hall Medical Center, Lackland AFB, TX 78236, USA, US aut NATIONALLICENCE 700 1- Bomalaski M. D. Division of Pediatric Urology, Wilford Hall Medical Center, Lackland AFB, TX 78236, USA, US aut NATIONALLICENCE 700 1- Lynch S. C. Department of Urology, Wilford Hall Medical Center, Lackland AFB, TX 78236, USA, US aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/5(2000-05-01), 469-472 0930-2794 14:5<469 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer