Is Retroperitoneoscopy the Gold Standard for Endoscopic Nephrectomy in Children on Peritoneal Dialysis?

摘要: Purpose: The literature on minimally invasive nephrectomy in adults and children peritoneal dialysis is sparse. Case reports suggest that the transperitoneal approach effective. We present our experience with retroperitoneoscopic dialysis. Materials Methods: At 11 consecutive nephrectomies a total of 14 kidneys were removed from 10 mean age 12 years. used 3-port lateral technique active trainee participation. Preoperative postoperative biochemistry results within 3 months surgery compared Wilcoxon signed rank test. Results: Three bilateral synchronous, 1 staged 6 unilateral done. Mean operative time was 174 minutes for 458 nephrectomy, including simultaneous insertion umbilical hernia repair. No open conversion, blood transfusion or surgical complication noted. Peritoneal initiated at median 9 hours postoperatively dialysate volume titrated to target 60 hours. One patient small peritoneotomy needed temporary hemodialysis despite intraoperative airtight After serum albumin increased 30.0 34.3 gm/l. Conclusions: Retroperitoneoscopic end stage renal disease safe, effective preserves integrity who require immediate Avoiding post-nephrectomy decreases morbidity, preserving vessels future vascular access. Compared laparoscopy this setting, can be considered ideal patients