Abstract
The current gold standard for pediatric complete and partial nephrectomy is the open surgical approach. Despite its short surgical times and excellent long-term outcomes, the open surgical approach has historically been associated with increased hospital stays and morbidity. The open approach often requires the patients to be on high doses of narcotics for postoperative pain management. This, in turn, has led to increased postoperative complications of refractory pain and constipation, which could potentially lead to readmission for their treatment. Laparoscopy provides an alternative approach in performing complete and partial nephrectomy. This approach is associated with less pain, shorter hospitalization, and more rapid recovery time compared to its open counterpart. However, laparoscopy is technically more demanding, leading to potentially higher rates of intraoperative complications, surgical time, and costs.
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Smith, S.C., Nguyen, H.T. (2017). Robotic Assisted Laparoscopic Complete and Partial Nephrectomy in Children. In: Mattioli, G., Petralia, P. (eds) Pediatric Robotic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-41863-6_10
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DOI: https://doi.org/10.1007/978-3-319-41863-6_10
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