Outcomes in Pediatric Robot-Assisted Laparoscopic Heminephrectomy Compared with Contemporary Open and Laparoscopic Series

Journal of Endourology
Rena D MalikMohan S Gundeti

Abstract

To compare our renal and clinical outcomes for robot-assisted laparoscopic heminephrectomy (RAL-HN) in the pediatric population with duplicated systems with those of current contemporary open and laparoscopic series. Sixteen children underwent RAL-HN from 2009 to 2014. Data were collected via retrospective chart review including demographics, preoperative and postoperative imaging, operative time, estimated blood loss (EBL), length of stay (LOS), complications, and renal outcomes. Mean age at surgery was 37.5±49.2 months. Mean operative time was 135±36 minutes with an EBL of 10±5 mL. Mean LOS was 2±0.8 days, and no major perioperative complications were observed. Mean follow-up was 22.1±17.2 months. Two patients needed secondary ureterectomy for recurrent urinary tract infection in the setting of a refluxing ureteral stump. One of these patients also underwent a ureteral reimplantation of the ipsilateral normal ureter. No patients lost their remaining healthy moiety. Asymptomatic cyst formation was seen in four (25%) patients, and self- limited postoperative urinoma was seen in 2 (13%) patients. Postoperative perinephric abscess did not develop in any patient. Mean change in renal function based on nuclear renography of the dup...Continue Reading

References

Jul 12, 2001·BJU International·N Ade-AjayiP G Ransley
Oct 21, 2003·Journal of Endourology·David S WangHoward N Winfield
May 6, 2004·The Journal of Urology·Roberto PedrazaIsrael Franco
Apr 12, 2005·The Journal of Urology·M S GundetiD T Wilcox
Jun 2, 2005·Current Opinion in Urology·W Bruce Harrell, Brent W Snow
May 16, 2006·The Journal of Urology·Lisandro PiaggioRicardo González
May 16, 2006·The Journal of Urology·M Chad WallisWalid A Farhat
Oct 25, 2008·Journal of Pediatric Urology·L H Olsen, T M Jørgensen
Oct 25, 2008·Journal of Pediatric Urology·I Mushtaq, G Haleblian
Dec 27, 2008·The Journal of Urology·Richard S LeeCraig A Peters
May 12, 2009·Journal of Pediatric Urology·Rashmi R SinghHarish Chandran
Aug 15, 2009·Journal of Pediatric Urology·Luis García-AparicioJoan Rodo
Aug 6, 2013·The Journal of Urology·Pankaj P DangleMohan S Gundeti
Feb 20, 2014·Journal of Endourology·Charles ChangMohan S Gundeti

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Citations

Nov 5, 2015·Journal of Robotic Surgery·Victor Kapoor, Jack S Elder
Oct 14, 2017·International Journal of Urology : Official Journal of the Japanese Urological Association·Quentin BallouheyLaurent Fourcade
Dec 11, 2017·Urologia Internationalis·Keiran ClementOmar M Aboumarzouk
Apr 19, 2018·Current Urology Reports·Diana K BowenArun K Srinivasan
Feb 25, 2017·Current Urology Reports·Jason E Michaud, Ardavan Akhavan
Jun 28, 2019·Pediatric Surgery International·C T LauK K Y Wong

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