Department of Urology, the First Affiliated Hospital of Gannan Medical University; Institute of Urology, Gannan Medical University, Ganzhou 341000, China
Abstract：ObjectiveTo evaluate the applied value of suprapubicassisted umbilical laparoendoscopic singlesite surgery (SALESS) for duplex kidney in children. MethodsNine consecutive patients including 3 males and 6 females, with a mean age of 9 (ranging 2 to 15) years, were subjected to SA-LESS heminephrectomy in our center. There were 1 duplex kidney with megaureter empyema, 4 duplex kidneys with duplication of ureter, 2 duplex kidneys with ectopic ureteral orifice and 2 duplex kidneys with ureterocele in our study. Operative time, estimated blood loss, intro- and post-operative complications, length of postoperative hospitalization and follow-up outcomes were recorded. ResultsAll the 9 procedures were successfully performed without conversion to open surgery. There were no intraoperative or postoperative complications. The median operative time was 81 (ranging 60 to 130) min. The median estimated blood loss was 35 (ranging 10 to 50) mL. No blood transfusions were required. Mean postoperative hospital stay was 7.5 (ranging 7 to 10) days. During the follow-up period of 2 to 43 months, the suprapubical and umbilical incisions were healed well. The umbilical incision was hidden and difficult to find. No incisional hernia occurred. No peri-renal urinary cyst and severe loss of renal function were found by ultrasound and nephrogram. ConclusionsSALESS for duplex kidney is safe, feasible, minimally invasive and cosmetic, while operation difficulty and risk are relatively low with shorter operation time. It is worth of clinical application.
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