LAPAROSCOPIC NEPHRECTOMY IN FATAL CHILDREN WITH WILMS TUMOR

Cover Page

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. 


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

Russian Federation

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 

A. L. Karmanov

Republican Children’s Clinical Hospital

Email: karmanoval@yandex.ru

Russian Federation

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 

V. G. Svarich

Syktyvkar State University named after Pitirim Sorokin;
Republican Children’s Clinical Hospital

Email: svarich61@mail.ru

Russian Federation

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 

I. A. Sannikov

Republican Children’s Clinical Hospital

Email: sunnykoff@mail.ru

Russian Federation

Ilya A. SANNIKOV - A pediatric urologist-andrologist

Syktyvkar, 116/6, Pushkin st., Syktyvkar, 167004 

References

  1. Волобуев А. В., Рубанский М. А., Рубанская М. В., Казанцев А. П., Керимов П. А., Капкова О. А., Рыбакова Д. В., Рябов А. Б. Лапароскопические вмешательства при опухолях почек у детей.// Материалы II съезда детских урологовандрологов. – 2011. – с. 21.
  2. Cabezalí B. D., Guerrero R. F., López V. F., Aransay B. A., Gómez F. A. Laparoscopic approach for Wilms tumor. Surg Laparosc Endosc Percutan Tech. 2014 Feb;24 (1):22–5. DOI: https://doi.org/ 10.1097/SLE.0b013e31829cebf1
  3. Duarte R. J., Denes F. T., Cristofani L. M., et al. Laparoscopic nephrectomy for Wilms’ tumor after chemotherapy: initial experience. J Urol 2004;172:1438–40. DOI: https://doi.org/10.1097/01.ju.0000138230.51134.65
  4. Duarte R. J., Denes F. T., Cristofani L. M. Further experience with laparoscopic nephrectomy for Wilms’ tumor after chemotherapy. BJU International 2006;98:155–9. DOI: https://doi.org/10.1111/j.1464-410X.2006.06214.x
  5. Duarte R. J., Dénes F. T., Cristofani L. M., Srougi M. Laparoscopic nephrectomy for Wilms’ tumor. Expert Rev Anticancer Ther. 2009 Jun;9 (6):753–61. DOI: https://doi.org/10.1586/era.09.44
  6. Duarte R. J., Cristofani L. M., Dénes F. T., Srougi M. Eleven year pioneer experience on laparoscopic nephrectomy for treatment of wilms tumor: brazilian pioneer experience in a single institution. 26 Congress ESPU, abstract book. 11–6.
  7. Javida P. J., Lendvayb T. S., Aciernoa S., Gowa K. W. Laparoscopic nephroureterectomy for Wilms’ tumor: Oncologic considerations. Journal of Pediatric Surgery 2011; 46: 978–982. DOI: https://doi.org/10.1016/j.jpedsurg.2011.01.014
  8. Liu J. B., Lu Z. B., Xiao X. M. Laparoscopic Radical Nephrectomy of Wilms’ Tumor and Renal Cancer in Children: Preliminary Experience from a Two-Center Study in China. J. Laparoendosc Adv. Surg Tech A. 2015 Jun;25 (6):516–21. DOI: https://doi.org/10.1089/lap.2014.0342
  9. Romao R. L., Weber B., Gerstle J. T., Grant R., Pippi Salle J. L., Bägli D. J., Figueroa V. H., Braga L. H., Farhat W. A., Koyle M. A., Lorenzo A. J. Comparison between laparoscopic and open radical nephrectomy for the treatment of primary renal tumors in children: single-center experience over a 5‑year period. J Pediatr Urol. 2014 Jun;10 (3):488–94. DOI: https://doi.org/10.1016/j.jpurol.2013.11.002
  10. Varlet F., Petit T., Leclair MD., Lardy H., Geiss S., Becmeur F., Ravasse P., Rod J., de Lambert G., Braik K., LardellierReynaud F., Lopez M. Laparoscopic treatment of renal cancer in children: a multicentric study and review of oncologic and surgical complications. J. Pediatr Urol. June 2014; Jun;10(3): 500–5; DOI: https://doi.org/10.1016/j.jpurol.2013.11.005

Statistics

Views

Abstract - 79

PDF (Russian) - 0

PlumX

Article Metrics

Metrics Loading ...

Metrics powered by PLOS ALM

Dimensions

Refbacks

  • There are currently no refbacks.


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies