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LAPAROSCOPIC NEPHRECTOMY IN FATAL CHILDREN WITH WILMS TUMOR
- Authors: Kagantsov I.M.1,2, Karmanov A.L.2, Svarich V.G.1,2, Sannikov I.A.2
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Affiliations:
- Syktyvkar State University named after Pitirim Sorokin
- Republican Children’s Clinical Hospital
- Issue: Vol 8, No 3 (2018)
- Pages: 53-59
- Section: Original Study Articles
- Submitted: 17.11.2018
- Published: 17.09.2018
- URL: https://rps-journal.ru/jour/article/view/448
- DOI: https://doi.org/10.30946/2219-4061-2018-8-3-53-59
- ID: 448
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Abstract
Over the past decades, minimally invasive surgical procedures have been widely applied in the field of pediatric urology. However, very few cases of possible laparoscopic removal of a nephroblastoma (Wilms’ tumor) in children have been reported, especially during the 1st year of life. In this study, we estimated our experience of laparoscopic nephrectomy for Wilms’ tumor in young children. 5 children with unilateral Wilms’ tumor who were less than 1 year of age and underwent radical nephrectomy via laparoscopic approach were observed from 2010 to 2017. During the intervention, the average age of the patients was 7.4 months. All children who underwent the laparoscopic surgery had a favourable early perioperative period. No continuous tumor growth, tumor implantation in the perioperative wound and trocar-related injury were noted. No delayed complications were found during the 12 to 60 month control period. The observed patients had no phenomena of renal insufficiency. The survival rate was 92.9%. Laparoscopic tumor nephrectomy is feasible in infants. It can be performed when the Wilms’ tumor reaches a volume of no more than 70 cm3 at specialized pediatric hospitals that provide oncological and urological services.
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About the authors
I. M. Kagantsov
Syktyvkar State University named after Pitirim Sorokin;Republican Children’s Clinical Hospital
Author for correspondence.
Email: ilkagan@rambler.ru
Ilya M. KAGANTSOV - Dr. Sci. (Med.), professor, Syktyvkar State University named after Pitirim Sorokin; chef of urological department, Republican Children’s Clinical Hospital, city of Syktyvkar
55, Oktyabrsky Prospect, Syktyvkar, 167001,
Syktyvkar, 116/6, Pushkin st., Syktyvkar, 167004
РоссияA. L. Karmanov
Republican Children’s Clinical Hospital
Email: karmanoval@yandex.ru
Andrey L. KARMANOV - Deputy Chief Physician of the Republican Children’s Clinical Hospital, city of Syktyvkar for Surgery, Chief Children’s Oncologist of the Komi Republic
Syktyvkar, 116/6, Pushkin st., Syktyvkar, 167004
РоссияV. G. Svarich
Syktyvkar State University named after Pitirim Sorokin;Republican Children’s Clinical Hospital
Email: svarich61@mail.ru
Vyacheslav G. SVARICH - Dr. Sci. (Med.), professor Syktyvkar State University named after Pitirim Sorokin; chef of surgery department, Republican Children’s Clinical Hospital, city of Syktyvkar
55, Oktyabrsky Prospect, Syktyvkar, 167001,
Syktyvkar, 116/6, Pushkin st., Syktyvkar, 167004
РоссияI. A. Sannikov
Republican Children’s Clinical Hospital
Email: sunnykoff@mail.ru
Ilya A. SANNIKOV - A pediatric urologist-andrologist
Syktyvkar, 116/6, Pushkin st., Syktyvkar, 167004
РоссияReferences
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