Outcome Analysis of Transperitoneal Laparoscopic Nephrectomy in Children: Experience from a Developing Country.

Ghulam Mujtaba Zafar, Muhammad Zaheer, Fawad Humayun Akhtar, Sadia Ghias
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Abstract

Objective: To analyse the outcome of laparoscopic nephrectomy among children.

Study design: An observational study. Place and Duration of the Study: Department of Paediatric Urology, Children's Hospital Lahore, from September 2021 to June 2023.

Methodology: During the study, 100 children aged 5-180 months were included. Data regarding age, gender, cause, side, intraoperative and postoperative outcomes such as number of ports, estimated blood loss, need of transfusion, operative time, hospital stay, analgaesia requirement and complications were recorded. Data were collected through proforma which were entered and analysed through computer software SPSS version 16.0.

Results: Among 100 children, 58.0% were males and the mean age was 79.54 ± 4.427 months while the major cause of laparoscopic nephrectomy was PUJO (Pelvi-Ureteric Junction Obstruction) for 47.0% of children. The mean blood loss was 19.93 ± 65.556 ml and the majority of the children (96.0%) did not require blood transfusion. The mean operative time was 125.31 ± 43.365 minutes and the mean hospital stay was 2.82 ± 1.258 days. Most of the children (90.0%) had no complications while 3.0% had ileus which was managed conservatively and 3.0% were converted to open surgery while 4.0% had wound infection.

Conclusion: Laparoscopic nephrectomy is an effective technique with regard to insignificant blood loss, operative time, hospital stay, and rate of complications.

Key words: Laparoscopy, Nephrectomy, Children, Operative time, Hospital stay, Complications.

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儿童经腹腔镜肾切除术的结果分析:发展中国家的经验。
研究目的分析儿童腹腔镜肾切除术的结果:观察性研究。研究地点和时间:拉合尔儿童医院小儿泌尿科,2021 年 9 月至 2023 年 6 月:研究期间,共纳入 100 名 5-180 个月大的儿童。记录了有关年龄、性别、病因、病侧、术中和术后结果(如孔数、估计失血量、输血需求、手术时间、住院时间、肛门指诊需求和并发症)的数据。数据通过表格收集,并通过 SPSS 16.0 版计算机软件进行输入和分析:在100名儿童中,58.0%为男性,平均年龄为(79.54 ± 4.427)个月,47.0%的儿童腹腔镜肾切除术的主要原因是PUJO(肾盂输尿管连接处梗阻)。平均失血量为 19.93 ± 65.556 毫升,大多数患儿(96.0%)无需输血。平均手术时间为 125.31 ± 43.365 分钟,平均住院时间为 2.82 ± 1.258 天。大多数患儿(90.0%)没有出现并发症,3.0%的患儿出现回肠梗阻,但得到了保守治疗,3.0%的患儿转为开放手术,4.0%的患儿出现伤口感染:结论:腹腔镜肾切除术是一种有效的技术,其失血量、手术时间、住院时间和并发症发生率都很低:腹腔镜 肾切除术 儿童 手术时间 住院时间 并发症
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