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Single-incision laparoscopic surgery in diagnosis and treatment for gastrointestinal bleeding of obscure origin in children.
Tam, Yuk Him; Chan, Kin Wai; Wong, Yuen Shan; Houben, Christopherus H; Pang, Kristine Kit Yi; Tsui, Siu Yan; Mou, Jennifer Wai Cheung; Lee, Kim Hung.
Afiliación
  • Tam YH; Department of Surgery, Division of Paediatric Surgery and Paediatric Urology, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China. pyhtam@surgery.cuhk.edu.hk
Surg Laparosc Endosc Percutan Tech ; 23(3): e106-8, 2013 Jun.
Article en En | MEDLINE | ID: mdl-23752016
In this multimedia manuscript with video presentation, we reported our experience of performing single-incision laparoscopic surgery (SILS) on 3 children who presented with gastrointestinal bleeding from congenital small bowel lesions. Preoperative investigations including endoscopy and technetium scintigraphy were all negative in the 3 patients aged 4, 7, and 10 years, respectively. SILS was performed using reusable 3- and 5-mm ports and standard straight instruments. The small bowel lesions were located by SILS and the bowel segment with the pathology was exteriorized through the umbilical wound for extracorporeal resection. The diagnoses of the 3 children were Meckel's diverticulum, ileal duplication cyst, and multiple small bowel vascular malformations. All the 3 children recovered uneventfully from surgery without any complications and required minimal postoperative analgesia. Our experience suggested that SILS is an effective alternative to conventional laparoscopy in both diagnostic and therapeutic functions for children with gastrointestinal bleeding of obscure origin.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hemostasis Endoscópica / Laparoscopía / Laparoscopios / Hemorragia Gastrointestinal / Íleon / Divertículo Ileal Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Child / Child, preschool / Female / Humans / Male Idioma: En Revista: Surg Laparosc Endosc Percutan Tech Asunto de la revista: DIAGNOSTICO POR IMAGEM / GASTROENTEROLOGIA Año: 2013 Tipo del documento: Article País de afiliación: China Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hemostasis Endoscópica / Laparoscopía / Laparoscopios / Hemorragia Gastrointestinal / Íleon / Divertículo Ileal Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Child / Child, preschool / Female / Humans / Male Idioma: En Revista: Surg Laparosc Endosc Percutan Tech Asunto de la revista: DIAGNOSTICO POR IMAGEM / GASTROENTEROLOGIA Año: 2013 Tipo del documento: Article País de afiliación: China Pais de publicación: Estados Unidos