Initial experience in children using conventional laparoscopic instruments in single-incision laparoscopic surgery
| Autor: | Sing Tak Cheung, Jennifer Dart Yin Sihoe, Yuk Him Tam, Kim Hung Lee, Kin Wai Chan, Kristine Kit Yi Pang |
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| Rok vydání: | 2010 |
| Předmět: |
Male
Laparoscopic surgery medicine.medical_specialty High ligation Adolescent medicine.medical_treatment Varicocele Splenectomy Nephrectomy medicine Appendectomy Humans Child Retrospective Studies business.industry General surgery Equipment Design General Medicine Surgical Instruments medicine.disease Laparoscopes Surgery Single incision laparoscopic Meckel Diverticulum Cholecystectomy Laparoscopic Child Preschool Orchiopexy Pediatrics Perinatology and Child Health Female Laparoscopy Cholecystectomy business Pediatric population |
| Zdroj: | Journal of Pediatric Surgery. 45:2381-2385 |
| ISSN: | 0022-3468 |
| DOI: | 10.1016/j.jpedsurg.2010.08.036 |
| Popis: | Background Single-incision laparoscopic surgery (SILS) has been successfully performed in children using 5-mm reticulating instruments. There are, however, few reports investigating the use of conventional instruments in SILS in the pediatric population. Methods We conducted a retrospective review of all consecutive children who underwent SILS from October 2009 to January 2010, with the procedure being solely performed by conventional 3- and 5-mm instruments through a standard access technique. Results A total of 19 SILS procedures were successfully performed in children aged 3 to 15 years. They included appendectomy (n = 10), nephrectomy (n = 1), combined cholecystectomy and splenectomy (n = 2), cholecystectomy (n = 1), high ligation for varicocele (n = 2), excision of Meckel diverticulum (n = 1), and staged orchidopexy and exploration for impalpable testis (n = 2). There was one conversion to conventional laparoscopic surgery, and that occurred in our first case of splenectomy. All the patients had smooth recovery from surgery without complications. Conclusions Using conventional instruments in SILS is technically feasible in children from simple to complex procedures and may have the potential to popularize this approach by eliminating the mandatory demand for specially designed instruments. |
| Databáze: | OpenAIRE |
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