دورية أكاديمية
Relative to open surgery, minimally-invasive renal and ureteral pediatric surgery offers no improvement in 30-day complications, yet requires longer operative time: Data from the National Surgical Quality Improvement Program Pediatrics
| العنوان: | Relative to open surgery, minimally-invasive renal and ureteral pediatric surgery offers no improvement in 30-day complications, yet requires longer operative time: Data from the National Surgical Quality Improvement Program Pediatrics |
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| المؤلفون: | Marc Colaco, Austin Hester, William Visser, Alison Rasper, Ryan Terlecki |
| المصدر: | Investigative and Clinical Urology, Vol 59, Iss 3, Pp 200-205 (2018) |
| بيانات النشر: | Korean Urological Association, 2018. |
| سنة النشر: | 2018 |
| المجموعة: | LCC:Diseases of the genitourinary system. Urology |
| مصطلحات موضوعية: | Complications, Kidney, Minimally invasive surgical procedures, Pediatrics, Postoperative period, Diseases of the genitourinary system. Urology, RC870-923 |
| الوصف: | Purpose: Performance of minimally-invasive surgery (MIS) is increasing relative to open surgery. We sought to compare the contemporary rates of short-term complications of open versus laparoscopic renal and ureteral surgery in pediatric patients. Materials and Methods: A retrospective cross-sectional analysis of the National Surgical Quality Improvement Program Pediatrics database was performed of all cases in 2014 identified using CPT procedure codes for nephrectomy, partial nephrectomy (PN), ureteroneocystostomy (UNC), and pyeloplasty, and reviewed for postoperative complications. Univariate analysis was performed to determine 30-day complications, with comparison between open and MIS approaches. Receiver operator curve (ROC) analysis was performed to determine differences in body surface area (BSA) and age for open versus MIS. Results: Review identified 207 nephrectomies, 72 PN, 920 UNC, and 625 pyeloplasties. MIS was associated with older age and larger BSA except for cases of UNC. Apart from PN, operative durations were longer with MIS. However, only PN was associated with significantly longer length of hospital stay (LOS). There was no difference in incidence of all other 30-day complications. When evaluating BSA via ROC, the area under the curve (AUC) was found to be 0.730 and was significant. Children with a BSA greater than 0.408 m2 were more likely to have MIS (sensitivity, 66.9%; specificity, 69.3%). Regarding age, the AUC was 0.732. Children older than 637.5 days were more likely to have MIS (sensitivity, 72.8%; specificity, 63.3%). Conclusions: Pediatric MIS is associated with longer operative time for nephrectomy, but shorter LOS following PN. Surgical approach was not associated with difference in short-term complications. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2466-0493 2466-054X |
| العلاقة: | https://www.icurology.org/Synapse/Data/PDFData/2020ICU/icu-59-200.pdfTest; https://doaj.org/toc/2466-0493Test; https://doaj.org/toc/2466-054XTest |
| DOI: | 10.4111/icu.2018.59.3.200 |
| الوصول الحر: | https://doaj.org/article/f7f0378007b046fd8272f7c95a5b1158Test |
| رقم الانضمام: | edsdoj.f7f0378007b046fd8272f7c95a5b1158 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 24660493 2466054X |
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| DOI: | 10.4111/icu.2018.59.3.200 |