التفاصيل البيبلوغرافية
| العنوان: |
Early comparison of nephrectomy options in children (open, transperitoneal laparoscopic, laparo-endoscopic single site (LESS), and robotic surgery). |
| المؤلفون: |
Kim, Philip H., Patil, Mukul B., Kim, Steve S., Dorey, Frederick, De Filippo, Roger E., Chang, Andy Y., Hardy, Brian E., Gill, Inderbir S., Desai, Mihir M., Koh, Chester J. |
| المصدر: |
BJU International; Mar2012, Vol. 109 Issue 6, p910-915, 6p, 1 Color Photograph, 1 Chart, 3 Graphs |
| مصطلحات موضوعية: |
NEPHRECTOMY, PEDIATRICS, LAPAROSCOPIC surgery, ENDOSCOPIC surgery, ANALGESICS, PATIENTS |
| مستخلص: |
Study Type - Therapy (case series) Level of Evidence 4 What's known on the subject? and What does the study add? For pediatric patients with nonfunctioning or poorly-functioning kidneys, laparoscopic nephrectomy has been shown to be a safe, viable option to traditional open surgery, with potential advantages of shorter hospital stays, decreased postoperative pain medication usage, and improved cosmesis. Technological advances have expanded the surgical options for nephrectomy beyond traditional laparoscopy to robot-assisted laparoscopy and, more recently, to laparo- endoscopic single-site (LESS) surgery, which is also known as single incision laparoscopic surgery (SILS) or 'belly-button' surgery. This study compares the perioperative parameters of three minimally invasive modalities for pediatric nephrectomy: traditional laparoscopic nephrectomy (LAP), robotic-assisted laparoscopic nephrectomy (RALN), and laparo-endoscopic single-site nephrectomy (LESS), where these parameters are compared to those of a comparable series of patients undergoing traditional open nephrectomy (OPEN) during the same time period. This study demonstrates that the minimally invasive modalities for nephrectomy in children, including LESS nephrectomy, are associated with shorter lengths of hospital stay and decreased postoperative pain medication usage when compared to open surgery, and where LESS nephrectomy is associated with similar surgical times, lengths of hospital stay, and postoperative pain medication usage as the other minimally invasive modalities (LAP and RALN). OBJECTIVE [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
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