title: Laparoscopic nephrectomy in children: experience at Srinagarind Hospital, Khon Kaen University.
abstract: BACKGROUND
  Laproscopic nephrectomy has become a popular procedure since first being introduced in 1990.
  
  
  OBJECTIVE
  Evaluate the feasibility and efficacy of laparoscopic pediatric nephrectomy.
  
  
  METHODS
  The authors reviewed the in-patient medical records at Srinagarind Hospital, Khon Kean University between 2007 and 2011. Laparoscopic nephrectomy was performed on 9 pediatric patients. The demographic data, indications for surgery, route of approach and peri-operative outcomes were analyzed.
  
  
  RESULTS
  Ten nephrectomies (6 L; 4 R) were performed on the nine patients (mean age 8.8 years: 7 males; 2 females). One patient underwent a bilateral nephrectomy at a different time. A trans-and retro-peritoneal approach was used on 1 and 9 cases, respectively. The respective mean operative time and hospital stay was 108.8 minutes and 5.8 days. The mean estimated blood loss was 31.8 ml (minimal-100 ml): no blood transfusion was required. Post-operatively, there were no major complications and the mean pain score was 2.3 (0-5). Only one patient was converted to an open nephrectomy and that due to massive adhesion.
  
  
  CONCLUSIONS
  Laparoscopic pediatric nephrectomy has been a feasible and safe procedure at our institution.
authors: Urology Division, Department of Surgery, Khon Kaen University, Khon Kaen, Thailand. woraka@kku.ac.th
authors: Worawat
authors: W
authors: Kaewwichian
authors: Kachit
authors: K
authors: Pacheerat
authors: Ekkarin
authors: E
authors: Chotikawanich
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005240:Feasibility Studies; D005260:Female; D006785:Hospitals, University; D006801:Humans; D007223:Infant; D010535:Laparoscopy; D008297:Male; D009392:Nephrectomy / Q000379:methods*; D013785:Thailand