Department of Urology, Royal Hospital for Sick Children, Glasgow G3 8SJ, Scotland, UK.
J Pediatr Urol. 2011 Feb;7(1):61-4. doi: 10.1016/j.jpurol.2010.02.001. Epub 2010 Mar 6.
To compare the outcomes of open (OPN) and prone retroperitoneoscopic partial nephrectomy (PRPN) in children.
The medical and radiological records of all children undergoing OPN and PRPN over a 6-year period (2002-2008) were reviewed.
Thirty-nine (11 boys/28 girls) partial nephrectomies were performed in a single institution. There were 24 OPNs (15 upper, 9 lower) and 15 PRPNs (13 upper, 2 lower) with a median age at surgery of 2.3 years and 3.4 years, respectively. Median duration of surgery was 50 min (range 30-180) for the OPN and 150 min (range 70-205) for the PRPN (P < 0.001). Median postoperative hospital stay was 4 days (range 2-7) for the OPN and 2 days (range 1-5) for the PRPN (P < 0.001). One patient in the OPN underwent a total nephrectomy with a loss of the remaining moiety. In 20 (87%) patients of the OPN group an epidural infusion was administered and four required a morphine infusion, while only five patients in the PRPN group required a morphine infusion.
Open partial nephrectomy had a significantly shorter operative time, but it was associated with a longer postoperative stay and higher analgesia requirements when compared to PRPN.
比较儿童开放性（OPN）和俯卧位后腹腔镜部分肾切除术（PRPN）的结果。
回顾了 6 年内（2002-2008 年）在单一机构接受 OPN 和 PRPN 的所有儿童的医疗和放射记录。
在一家机构进行了 39 例（11 名男孩/28 名女孩）部分肾切除术。有 24 例 OPN（15 例上，9 例下）和 15 例 PRPN（13 例上，2 例下），手术时的中位年龄分别为 2.3 岁和 3.4 岁。OPN 的中位手术时间为 50 分钟（范围 30-180），PRPN 的中位手术时间为 150 分钟（范围 70-205）（P<0.001）。OPN 的中位术后住院时间为 4 天（范围 2-7），PRPN 的中位术后住院时间为 2 天（范围 1-5）（P<0.001）。OPN 组中有 1 例患者行全肾切除术，导致剩余部分丧失。OPN 组中有 20 例（87%）患者接受硬膜外输注，4 例需要吗啡输注，而 PRPN 组中只有 5 例患者需要吗啡输注。
与 PRPN 相比，开放性部分肾切除术的手术时间明显缩短，但术后住院时间较长，镇痛需求较高。
