Background:The aim of this study was to compare results of treatment of non-functioning kidneys in neonates and infants using Single-Incision Laparoscopic Nephrectomy (SIL-N) and multi-ports laparoscopy. Materials and methods:Between January 2013 and December 2016 we have performed 18 nephrectomies for nonfunctioning kidneys with use of single-incision laparoscopy (Group 1) and 17 operations by means of multi-port laparoscopic technique (Group 2). For implementation a SIL-N in young babies a new technological platform was developed taking into account anatomical and physiological features of the infant body like selection of beneficial access, equipment and practical skills. The analysis of demographic data, intra-and postoperative parameters, immediate and late effects of the procedures, was performed at the final stage of the study.Results: There were no differences in the pre-and postoperative parameters between the two groups. The compared groups were similar in terms of demographics parameters (diagnosis, age, gender and weight). The mean operative time in Group 1 was 43.33 min. In contrast, the mean duration of the operation in the Group 2 was 48.33 min (p = 0.378). The mean dose of analgesia in Group 1 was 3.67. In contrast, the mean quantity of analgetic doses in the Group 2 was 3.58. Length of postoperative hospital stay was identical in patients of both groups (3 days vs. 2.91 days; p = 0.779). The postoperative course and follow up was uneventful in the all patients. We did not register any complications of the procedure such as hematoma of the bed of the removed kidney or wound infection in the early postoperative period. Follow-up (from 1 month to 1 year) of patients showed no negative effects of nephrectomy that was performed by using a single-incision technique. Conclusion:The results of this study demonstrate that single incision vs. multiport nephrectomy on non-functioning kidneys in infants are equally effective.
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