PTU - Polskie Towarzystwo Urologiczne
home page
current numbers
archival numbers
list of articles:
list przewodni/covering letter
editor
Scientific Committee
publisher
subscription
advertising
important links

THE RESULTS OF RETROPERITONEOSCOPIC NEPHRECTOMY WITH CIRRHOTIC KIDNEY IN CHILDREN
Article published in Urologia Polska 1999/52/4.

authors

Mieczysław Fryczkowski, Andrzej Potyka, Jacek Huk, Zbigniew Kaletka
Katedra i Klinika Urologii ¦AM w Zabrzu
Kierownik Kliniki: prof. dr hab. n. med. M. Fryczkowski

keywords

retroperitoneoscopic ? children ? cirrhotic kidney, retroperitoneoscopic nephrectomy

summary

The aim of this paper there is the retrospective analisis results
of retroperitoneoscopic nephrectomy (RN) in children with unilateral cirrhotic
kidney.
Material and methods. In the period of 1996-1999 we operated on 15
children. There was 11 girls and 4 boys at the avarage age of 11. In all of
them pre-operation renal scyntygraphy showed the decrease of kidney
function till 1-17% in operated kidney The follow up period was 16 months
3-36
Results. All children had good RN results without any significant
complications. The average operating time was 107 min., hospitalization time-
4.2 days and reconvalescency time 10 days.
Conclusion. RN in children with cirrhotic kidney is safe and not so
traublesome and burening to children. The laparoscopic procedure behind
the good cosmetic results, shortens the hospitalization and reconvalescency
time reduce the doses of antibiotics, analgetic drugs and blood.

references

  1. [1] Das, S., Keizur, J. I., Tashima, M.: Laparoscopic nephroureterectomy for end stage
  2. reflux nephropathy in a child. Laparosc. Endosc. 1993, 3, 462-464.
  3. [2] Diamons, D. A., Price, R. M, Mc Dougall, E. M., Bloom, D. A.: Retroperitoneal
  4. laparoscopic nephrectomy in children. J. Urol. 1995,153,1920-1962.
  5. [3] Doehn, L. H., Fornara, R, Fricke L., Jacham, D.: Comparison of laparoscopic
  6. and open nephroureterectomy for benign disease.}. Urol. 1998,159, 733-734.
  7. [4] El Ghoneim, A., Valla, A. S., Stegert, R., Aigrain, Y.: Laparoscopic renal
  8. surgery via a retroperitoneal approach in children. J. Urol. 1998, 160, 1135-
  9. 1141.
  10. [5] Frede, T., Seemann, L., Renner, C. R., Ressweiler, J.: Retrolaparoscopy. Ex-
  11. perience with 240 cases and analysis of the learning curnes. Eur. Urol. 1999, 35,
  12. 119.
  13. [6] Gill, I. S., Kavaussi, L. R., Clayman, R. V. et al.: Complications of laparoscop-
  14. ic nephrectomy in 185 patients a multiinstitutional review. J. Urol. 1995, 154,
  15. 479-481.
  16. [7] Janetschek, L., Reissigl, A., Peschel R., Bartsch, G.: Laparoscopic neph-
  17. rouretereoctomy in infants. J. Endourol. 1993,4,236.
  18. [8] Janetschek, G., Ressweiler, J., Griffith, D. R, Potempa, D. R.: Laparoscopic
  19. surgery in urołogy. 1996, Stuttgard ed. Thiema, 139-155.
  20. [9] Kabaschi, K. C, Chambelealin, D. A., Rajpot, D., Shanberg, A. M.: Ret-
  21. roperitoneal laparoscopic nephrectomy in children. J. Urol. 1998,160,1142-1144.
  22. [10] Ono, Y., Katch, N., Kinukawa, T., Matsuura, D., Ohshina, S.: Laparoscop-
  23. ic nephrectomy via a retroperitoneal approach. J. Urol. 1996,156,1101-1102.
  24. [11] Rossweiler, J. J., Henkel, T., Stuch, C, Potempa, D., Greschner, M., Alk-
  25. en, R: Trans- and retroperitoneal laparoscopic nephrectomy: indications and results.
  26. J. Endourol. 1993, 7,175.
  27. [12] Sibold, J., Janetschek, G., Fuchs, G.: Laparoscopic renal surgery in children.
  28. Eur. Urol. 1996, 30, 394-397.
  29. [13] Suzuki, K., Kurila, Y, Kageyma, S. et al.: Laparoscopic nephrectomy for atrophic
  30. kidney associated with ectopic ureter in a child. Eur. Urol. 1993, 23, 463-464.