Pediatric laparoendoscopic single-site partial nephrectomy: Initial report

Hwang Gyun Jeon, Dong Suk Kim, Ha Bum Jeoung, Sangwon Han, Chang Hee Hong, Young Jae Im, Young Taek Oh, Myung Joon Kim, WoongKyu Han

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

OBJECTIVES We present a case of transumbilical laparoendoscopic single-site surgery (LESS) for partial nephrectomy in a child. METHODS On May 22, 2009, we performed LESS partial nephrectomy on a 7-year-old girl with a 3.5-cm renal mass. The surgery was performed using a homemade single-port device inserted through a single 3-cm umbilical incision. LESS partial nephrectomy was performed with hilar clamping and suturing of the renal defect. RESULTS The duration of the operation was 210 minutes, and the warm ischemic time was 42 minutes. The suturing required 35 minutes, and the estimated blood loss was 10 mL. Histopathological analysis revealed a 3.5-cm metanephric adenoma with a clean surgical margin. The patient was discharged without intraoperative or postoperative complications. On follow-up, Doppler ultrasound sonography showed the kidney was normal in appearance, size, and echogenicity. Split renal function was calculated to be 47.5% for the left kidney upon dimercaptosuccinic acid renal scintigraphy. CONCLUSIONS LESS partial nephrectomy was safe and feasible for removal of a renal mass in a child. Additional development of applicable instruments and refinement of the suturing technique are needed.

Original languageEnglish
Pages (from-to)138-141
Number of pages4
JournalUrology
Volume76
Issue number1
DOIs
Publication statusPublished - 2010 Jan 1

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Nephrectomy
Pediatrics
Kidney
Doppler Ultrasonography
Succimer
Umbilicus
Warm Ischemia
Intraoperative Complications
Constriction
Radionuclide Imaging
Adenoma
Equipment and Supplies

All Science Journal Classification (ASJC) codes

  • Urology

Cite this

Jeon, Hwang Gyun ; Kim, Dong Suk ; Jeoung, Ha Bum ; Han, Sangwon ; Hong, Chang Hee ; Im, Young Jae ; Oh, Young Taek ; Kim, Myung Joon ; Han, WoongKyu. / Pediatric laparoendoscopic single-site partial nephrectomy : Initial report. In: Urology. 2010 ; Vol. 76, No. 1. pp. 138-141.
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abstract = "OBJECTIVES We present a case of transumbilical laparoendoscopic single-site surgery (LESS) for partial nephrectomy in a child. METHODS On May 22, 2009, we performed LESS partial nephrectomy on a 7-year-old girl with a 3.5-cm renal mass. The surgery was performed using a homemade single-port device inserted through a single 3-cm umbilical incision. LESS partial nephrectomy was performed with hilar clamping and suturing of the renal defect. RESULTS The duration of the operation was 210 minutes, and the warm ischemic time was 42 minutes. The suturing required 35 minutes, and the estimated blood loss was 10 mL. Histopathological analysis revealed a 3.5-cm metanephric adenoma with a clean surgical margin. The patient was discharged without intraoperative or postoperative complications. On follow-up, Doppler ultrasound sonography showed the kidney was normal in appearance, size, and echogenicity. Split renal function was calculated to be 47.5{\%} for the left kidney upon dimercaptosuccinic acid renal scintigraphy. CONCLUSIONS LESS partial nephrectomy was safe and feasible for removal of a renal mass in a child. Additional development of applicable instruments and refinement of the suturing technique are needed.",
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Jeon, HG, Kim, DS, Jeoung, HB, Han, S, Hong, CH, Im, YJ, Oh, YT, Kim, MJ & Han, W 2010, 'Pediatric laparoendoscopic single-site partial nephrectomy: Initial report', Urology, vol. 76, no. 1, pp. 138-141. https://doi.org/10.1016/j.urology.2010.01.088

Pediatric laparoendoscopic single-site partial nephrectomy : Initial report. / Jeon, Hwang Gyun; Kim, Dong Suk; Jeoung, Ha Bum; Han, Sangwon; Hong, Chang Hee; Im, Young Jae; Oh, Young Taek; Kim, Myung Joon; Han, WoongKyu.

In: Urology, Vol. 76, No. 1, 01.01.2010, p. 138-141.

Research output: Contribution to journalArticle

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T1 - Pediatric laparoendoscopic single-site partial nephrectomy

T2 - Initial report

AU - Jeon, Hwang Gyun

AU - Kim, Dong Suk

AU - Jeoung, Ha Bum

AU - Han, Sangwon

AU - Hong, Chang Hee

AU - Im, Young Jae

AU - Oh, Young Taek

AU - Kim, Myung Joon

AU - Han, WoongKyu

PY - 2010/1/1

Y1 - 2010/1/1

N2 - OBJECTIVES We present a case of transumbilical laparoendoscopic single-site surgery (LESS) for partial nephrectomy in a child. METHODS On May 22, 2009, we performed LESS partial nephrectomy on a 7-year-old girl with a 3.5-cm renal mass. The surgery was performed using a homemade single-port device inserted through a single 3-cm umbilical incision. LESS partial nephrectomy was performed with hilar clamping and suturing of the renal defect. RESULTS The duration of the operation was 210 minutes, and the warm ischemic time was 42 minutes. The suturing required 35 minutes, and the estimated blood loss was 10 mL. Histopathological analysis revealed a 3.5-cm metanephric adenoma with a clean surgical margin. The patient was discharged without intraoperative or postoperative complications. On follow-up, Doppler ultrasound sonography showed the kidney was normal in appearance, size, and echogenicity. Split renal function was calculated to be 47.5% for the left kidney upon dimercaptosuccinic acid renal scintigraphy. CONCLUSIONS LESS partial nephrectomy was safe and feasible for removal of a renal mass in a child. Additional development of applicable instruments and refinement of the suturing technique are needed.

AB - OBJECTIVES We present a case of transumbilical laparoendoscopic single-site surgery (LESS) for partial nephrectomy in a child. METHODS On May 22, 2009, we performed LESS partial nephrectomy on a 7-year-old girl with a 3.5-cm renal mass. The surgery was performed using a homemade single-port device inserted through a single 3-cm umbilical incision. LESS partial nephrectomy was performed with hilar clamping and suturing of the renal defect. RESULTS The duration of the operation was 210 minutes, and the warm ischemic time was 42 minutes. The suturing required 35 minutes, and the estimated blood loss was 10 mL. Histopathological analysis revealed a 3.5-cm metanephric adenoma with a clean surgical margin. The patient was discharged without intraoperative or postoperative complications. On follow-up, Doppler ultrasound sonography showed the kidney was normal in appearance, size, and echogenicity. Split renal function was calculated to be 47.5% for the left kidney upon dimercaptosuccinic acid renal scintigraphy. CONCLUSIONS LESS partial nephrectomy was safe and feasible for removal of a renal mass in a child. Additional development of applicable instruments and refinement of the suturing technique are needed.

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