461 COMPARISON OF NEPHRECTOMY OPTIONS IN CHILDREN INCLUDING LAPARO-ENDOSCOPIC SINGLE SITE (LESS) SURGERY

Abstract

You have accessJournal of UrologyPediatrics: Congenital Anomalies - Kidney & Ureter1 Apr 2012461 COMPARISON OF NEPHRECTOMY OPTIONS IN CHILDREN INCLUDING LAPARO-ENDOSCOPIC SINGLE SITE (LESS) SURGERY Philip Kim, Mukul Patil, Steve Kim, Frederick Dorey, Roger De Filippo, Andy Chang, Brian Hardy, Inderbir Gill, Mihir Desai, and Chester Koh Philip KimPhilip Kim Los Angeles, CA More articles by this author , Mukul PatilMukul Patil Los Angeles, CA More articles by this author , Steve KimSteve Kim Los Angeles, CA More articles by this author , Frederick DoreyFrederick Dorey Los Angeles, CA More articles by this author , Roger De FilippoRoger De Filippo Los Angeles, CA More articles by this author , Andy ChangAndy Chang Los Angeles, CA More articles by this author , Brian HardyBrian Hardy Los Angeles, CA More articles by this author , Inderbir GillInderbir Gill Los Angeles, CA More articles by this author , Mihir DesaiMihir Desai Los Angeles, CA More articles by this author , and Chester KohChester Koh Los Angeles, CA More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.529AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Minimally invasive alternatives to open (OPEN) nephrectomy when indicated, include conventional laparoscopy (LAP), robotic-assisted laparoscopy (RALN), and laparo-endoscopic single site (LESS) surgery. We compared the perioperative parameters of patients undergoing LESS nephrectomy to those who underwent nephrectomy via the other modalities. METHODS The medical records of 69 pediatric patients who underwent nephrectomies for 72 renal units (39 OPEN, 11 LAP, 11 RALN, and 11 LESS) were reviewed for patient demographics and perioperative clinical parameters. RESULTS The minimally invasive modalities in children, including LESS nephrectomy, were associated with shorter lengths of hospital stay (p = 0.0001) (Figure 1) and decreased postoperative pain medication usage (p = 0.0001) (Figure 2) than with OPEN surgery. Similar surgical times were noted with LESS and the other minimally invasive modalities (LAP and RALN) (p = 0.056). However, the minimally invasive modalities (LESS, LAP, and RALN) were associated with slightly longer surgical times when compared to OPEN surgery (p = 0.0001), which may, in part, be secondary to learning curve factors. No differences were noted among the minimally invasive modalities for postoperative pain medication usage (p = 0.354) and length of hospital stay (p = 0.86). CONCLUSIONS The minimally invasive modalities for nephrectomy in children, including single site nephrectomy, are associated with shorter lengths of hospital stay and decreased postoperative pain medication usage when compared to open surgery. LESS nephrectomy in children is associated with similar surgical times, lengths of hospital stay, and postoperative pain medication usage as the other minimally invasive modalities (LAP and RALN). © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e188-e189 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Philip Kim Los Angeles, CA More articles by this author Mukul Patil Los Angeles, CA More articles by this author Steve Kim Los Angeles, CA More articles by this author Frederick Dorey Los Angeles, CA More articles by this author Roger De Filippo Los Angeles, CA More articles by this author Andy Chang Los Angeles, CA More articles by this author Brian Hardy Los Angeles, CA More articles by this author Inderbir Gill Los Angeles, CA More articles by this author Mihir Desai Los Angeles, CA More articles by this author Chester Koh Los Angeles, CA More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...