介绍腹腔镜肾切除术和儿童肾切除术的经验。2015年7月至2023年3月（92个月）共完成肾肿瘤微创手术28例。有 16 名男孩（57%）和 12 名女孩（43%）接受了 22 例肾切除术和 6 例肾切除术。患者的中位年龄为54（38；76.5）个月。腹腔镜肾切除术组的中位手术时间为135（108-188）分钟，失血量为10（3.75-15）ml。所有患者均确认完全切除。在微创肾切除组中，这些值分别为 182.5 (157.5; 265) min 和 50 (42.5; 117.5) ml。组织学检查证实所有患者均已完全切除。两组中均没有患者出现术后并发症。中位随访 82 个月的无事件生存率为 86.72%，中位随访 89.8 个月的局部无复发生存率为 95.8%。如果患者细心，微创肾切除术和切除术对于儿童来说是安全的选择。

To present the experience of laparoscopic nephrectomies and kidney resections in children.There were 28 minimally invasive surgeries for renal tumors between July 2015 and March 2023 (92 months). There were 16 (57%) boys and 12 (43%) girls who underwent 22 nephrectomies and 6 kidney resections. The median age of patients was 54 (38; 76.5) months.In the laparoscopic nephrectomy group, the median surgery time was 135 (108-188) min, blood loss - 10 (3.75-15) ml. Total resection was confirmed in all patients. In the group of minimally invasive kidney resections, these values were 182.5 (157.5; 265) min and 50 (42.5; 117.5) ml, respectively. Histological examination confirmed total resection in all patients. In both groups, none patient developed postoperative complications. Event-free survival was 86.72% with a median follow-up of 82 months, and local recurrence-free survival was 95.8% with a median follow-up of 89.8 months.Minimally invasive nephrectomies and resections are safe in children in case of careful patient selection.