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Prog Urol. 2007 Sep;17(5):992-5.

[To study the safety and effectiveness of heminephroureterectomy by horizontal lumbar posterior approach for duplicated systems in infants].

[Article in French]

Author information

  • 1Service de chirurgie pédiatrique viscérale, Service de médecine nucléaire, Hôpital d'Enfants Armand-Trousseau, Paris, France.

Abstract

PURPOSE:

To study the safety and effectiveness of heminephroureterectomy by horizontal lumbar posterior approach for duplicated systems in infants.

MATERIALS AND METHODS:

Thirty-three heminephroureterectomies by lumbar posterior approach were performed in 31 infants at a mean age of 6.7 +/- 5.5 months (range: 1 to 26 months) from January 1994 to December 2005.

RESULTS:

The mean operative time was 121 +/- 35 minutes (range: 60 to 190 minutes). No intra-operative complication was observed. Blood loss was minimal (< 20 ml) in all cases. The mean hospital stay was 4.6 days (range: 2 to 7 days). No postoperative complication (urinoma, infection or haemotoma) occurred. No atrophy or major functional loss of the remaining moiety was observed. The mean follow-up was 52.6 +/- 40 months (range: 1 to 151 months).

CONCLUSIONS:

The lumbar posterior approach is safe and reproducible and provides an obvious cosmetic benefit in comparison to the standard anterolateral lumbotomy. It represents a procedure of choice for open heminephroureterectomy in infants.

PMID:
17969804
[PubMed - indexed for MEDLINE]
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