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Retroperitoneal Laparoscopic Nephrectomy in Children |
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| Authors: | David A. Diamond Howard M. Price Elspeth M. McDougall David A. Bloom |
| Affiliation: | aUniversity of Massachusetts Medical Center, Worcester, Massachusetts, Washington University, St. Louis, Missouri, and University of Michigan, Ann Arbor, Michigan |
| Abstract: | Retroperitoneal pediatric laparoscopic nephrectomy is described in 3 patients requiring 3 to 5 hours with an estimated blood loss of 10 to 60 cc. The children returned to school within 7 days postoperatively. Advantages of this procedure include the avoidance of intraoperative repositioning of the patient and easy conversion to an open lumbodorsal approach, if necessary; early laparoscopic visualization of the renal artery; applicability in cases of previous abdominal surgery, and avoidance of intraperitoneal adhesion. |
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