Nefrectomia laparoscópica retroperitoneal em crianças com idade inferior a nove anos: estado da arte.

In Portugal, there is very few experience in pediatric retroperitoneoscopy. The authors present the first Portuguese series of retroperitoneal laparoscopic nephrectomies (RLN) in children younger than nine years-old, as well as a literature review about the theme.Retrospective analysis of clinical c...

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Main Authors: João Moreira-Pinto, Angélica Osório, Joana Pereira, Carlos Enes, João Ribeiro De Castro, Armando Reis
Format: Article
Language:English
Published: Ordem dos Médicos 2011-12-01
Series:Acta Médica Portuguesa
Online Access:https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1523
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author João Moreira-Pinto
Angélica Osório
Joana Pereira
Carlos Enes
João Ribeiro De Castro
Armando Reis
author_facet João Moreira-Pinto
Angélica Osório
Joana Pereira
Carlos Enes
João Ribeiro De Castro
Armando Reis
author_sort João Moreira-Pinto
collection DOAJ
description In Portugal, there is very few experience in pediatric retroperitoneoscopy. The authors present the first Portuguese series of retroperitoneal laparoscopic nephrectomies (RLN) in children younger than nine years-old, as well as a literature review about the theme.Retrospective analysis of clinical charts of all children submitted to RLN between January 2009 and December 2009 in a Pediatric Surgery Department. The literature review was made searching related articles in Medline.Eight RLN were preformed. The medium age of the patients was 4,5 years-old (minimum = 11 months, maximum = 8,6 years). The indications for surgery were: four multicystic kidneys, three reflux nephropathy, and one obstructive nephropathy. Four RLN were preformed on the left side. The medium operative time was 99 minutes (minimum = 50 minutes, maximum = 180 minutes). There was a shortening of operative time as the surgical team got more experienced. There were no conversions to open surgery. Medium hospital stay was 1,5 days (minimum = 1 day, maximum = 2 days). There were no intra-operative and no post-operative complications.RLN is feasible in children younger than nine years-old and should be considered standard treatment in pediatric population.
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spelling doaj.art-f2d5ad09589e4d8881bc6d5c0b3b03d62022-12-22T04:30:00ZengOrdem dos MédicosActa Médica Portuguesa0870-399X1646-07582011-12-012410.20344/amp.1523Nefrectomia laparoscópica retroperitoneal em crianças com idade inferior a nove anos: estado da arte.João Moreira-Pinto0Angélica OsórioJoana PereiraCarlos EnesJoão Ribeiro De CastroArmando ReisServiço de Cirurgia Pediátrica, Centro Hospitalar do Porto, Porto, Portugal.In Portugal, there is very few experience in pediatric retroperitoneoscopy. The authors present the first Portuguese series of retroperitoneal laparoscopic nephrectomies (RLN) in children younger than nine years-old, as well as a literature review about the theme.Retrospective analysis of clinical charts of all children submitted to RLN between January 2009 and December 2009 in a Pediatric Surgery Department. The literature review was made searching related articles in Medline.Eight RLN were preformed. The medium age of the patients was 4,5 years-old (minimum = 11 months, maximum = 8,6 years). The indications for surgery were: four multicystic kidneys, three reflux nephropathy, and one obstructive nephropathy. Four RLN were preformed on the left side. The medium operative time was 99 minutes (minimum = 50 minutes, maximum = 180 minutes). There was a shortening of operative time as the surgical team got more experienced. There were no conversions to open surgery. Medium hospital stay was 1,5 days (minimum = 1 day, maximum = 2 days). There were no intra-operative and no post-operative complications.RLN is feasible in children younger than nine years-old and should be considered standard treatment in pediatric population.https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1523
spellingShingle João Moreira-Pinto
Angélica Osório
Joana Pereira
Carlos Enes
João Ribeiro De Castro
Armando Reis
Nefrectomia laparoscópica retroperitoneal em crianças com idade inferior a nove anos: estado da arte.
Acta Médica Portuguesa
title Nefrectomia laparoscópica retroperitoneal em crianças com idade inferior a nove anos: estado da arte.
title_full Nefrectomia laparoscópica retroperitoneal em crianças com idade inferior a nove anos: estado da arte.
title_fullStr Nefrectomia laparoscópica retroperitoneal em crianças com idade inferior a nove anos: estado da arte.
title_full_unstemmed Nefrectomia laparoscópica retroperitoneal em crianças com idade inferior a nove anos: estado da arte.
title_short Nefrectomia laparoscópica retroperitoneal em crianças com idade inferior a nove anos: estado da arte.
title_sort nefrectomia laparoscopica retroperitoneal em criancas com idade inferior a nove anos estado da arte
url https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1523
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