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KMID : 1218220100020020094
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Korean Journal of Pediatric Urology
2010 Volume.2 No. 2 p.94 ~ p.98
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The Single-instrument Port Laparoscopic Nephrectomy: Early Experience
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Lee Dong-Gi
Ju Sung-Ho
Lee Young-Suk
Jung Jea-Yong
Baek Min-Ki
Park Kwan-Hyeon
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Abstract
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Purpose: There are many options in the surgical approach for nephrectomy in children. We report our experience in three children who underwent single-instrument port laparoscopic (SImPL) nephrectomy.
Materials and Methods : Between January 2009 and September 2009, a single surgeon consecutively performed SImPL nephrectomy with retroperitoneal approach on three children (aged 2-7 years). The kidney was removed through minimal extension of the 10mm port scar. The perioperative clinical data were reviewed retrospectively.
Results: SImPL nephrectomy was completed successfully in all three patients without conversion to conventional laparoscopy or open conversion. Blood loss was minimal. The mean operation time was 90 minutes (range 50-125), and patients began oral intake on the first postoperative day. Mean postoperative hospital stay was 3.7 days (range 3-4).
Conclusions: SImPL nephrectomy for children is a safe and feasible method. Further experience with this technique is warranted.
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KEYWORD
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Laparoscopy, Pediatrics, Nephrectomy
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