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- Title
Further experience with laparoscopic nephrectomy for Wilms’ tumour after chemotherapy.
- Authors
DUARTE, RICARDO J.; DÉNES, FRANCISCO T.; CRISTOFANI, LILIAN M.; ODONE-FILHO, VICENTE; SROUGI, MIGUEL
- Abstract
There are four papers in this section, from Turkey, Japan and two from Brazil. The topics dealt with are VUR, PUJ and vesico-ureteric junction obstruction, the non-pharmocological treatment of lower urinary tract dysfunction, and laparoscopic nephrectomy for Wilms’ tumour after chemotherapy. OBJECTIVE To report the results of laparoscopic nephrectomy for unilateral Wilms’ tumour in children treated with chemotherapy before surgery. PATIENTS AND METHODS Eight children with unilateral nonmetastatic Wilms’ tumour included in the International Society of Pediatric Oncology 2001 protocol were treated with vincristine/actinomycin D and then had laparoscopic nephrectomy and lymph-node sampling. A Veress needle puncture was made and a four-trocar transperitoneal approach was used in all cases. The tumour was extracted with no morcellation through a Pfannenstiel incision. RESULTS All eight tumours were completely removed, with lymph node samples; intraoperative bleeding was minimal (50 mL). There were no complications after surgery and patients were discharged after 2–3 days. No recurrences of disease, port-site implantation or long-term complications were detected. CONCLUSIONS Laparoscopic nephrectomy for unilateral Wilms’ tumour is feasible in children after chemotherapy; it is safe and allows the complete surgical approach required for treating this tumour. Although the patients had a good long-term follow-up, more patients are needed to compare the results of laparoscopic techniques with open surgery.
- Subjects
LAPAROSCOPY; URINARY organ diseases; DRUG therapy; TUMORS in children; LYMPH nodes; THERAPEUTICS
- Publication
BJU International, 2006, Vol 98, Issue 1, p155
- ISSN
1464-4096
- Publication type
Article
- DOI
10.1111/j.1464-410X.2006.06214.x