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Pediatric laparoendoscopic single-site partial nephrectomy: initial report

 Hwang Gyun Jeon  ;  Dong Suk Kim  ;  Ha Bum Jeoung  ;  Sang Won Han  ;  Chang Hee Hong  ;  Young Jae Im  ;  Young Taek Oh  ;  Myung Joon Kim  ;  Woong Kyu Han 
 Urology, Vol.76(1) : 138-141, 2010 
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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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1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
Yonsei Authors
김동석(Kim, Dong Suk)
김명준(Kim, Myung Joon) ORCID logo https://orcid.org/0000-0002-4608-0275
오영택(Oh, Young Taik) ORCID logo https://orcid.org/0000-0002-4438-8890
임영재(Im, Young Jae)
전황균(Jeon, Hwang Gyun)
한상원(Han, Sang Won) ORCID logo https://orcid.org/0000-0003-0941-1300
한웅규(Han, Woong Kyu) ORCID logo https://orcid.org/0000-0002-2527-4046
홍창희(Hong, Chang Hee) ORCID logo https://orcid.org/0000-0002-0946-7702
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