Journal of laparoendoscopic surgery最新文献_第8页

Laparoscopic conversion of polya gastrectomy to Roux-en-Y. 腹腔镜下胃息肉切除术到Roux-en-Y的转换。

Journal of laparoendoscopic surgery Pub Date : 1996-04-01 DOI: 10.1089/lps.1996.6.127

S C Macpherson, R Kincaid, C Porteous

引用次数: 0

Intestinal perforation due to an ingested foreign body: laparoscopic management. 肠道穿孔由于摄入异物:腹腔镜处理。

Journal of laparoendoscopic surgery Pub Date : 1996-03-01

A Hebra, A M Davidoff, S Ahmad, P T Stockmann, P W Stafford

引用次数: 0

Identification of a duplicated undescended testicle (polyorchia): an unexpected benefit of laparoscopic localization. 鉴定一个重复的隐睾(多胎):腹腔镜定位的一个意想不到的好处。

Journal of laparoendoscopic surgery Pub Date : 1996-03-01

G E Besner, S J Qualman, J R Gosche

{"title":"Identification of a duplicated undescended testicle (polyorchia): an unexpected benefit of laparoscopic localization.","authors":"G E Besner, S J Qualman, J R Gosche","doi":"","DOIUrl":"","url":null,"abstract":"Polyorchidism is an uncommon anomaly resulting from transverse division of the embryonic genital ridge. Up to 50 percent of cases are associated with cryptorchidism. The present case describes a 6-year-old boy who was referred for evaluation of an undescended right testicle. Examination revealed compensatory hypertrophy of the left testis (2 cm length; 2 cc volume; volume twice normal for age). These measurements were consistent with the presence of monorchidism rather than cryptorchidism. Laparoscopy was performed to confirm the absence of the nonpalpable testicle and to localize any testicular remnants. Laparoscopic findings included a hypoplastic testicle at the mid lumbar it level (abdominal testis) and a second hypoplastic testicle just distal to the internal inguinal ring (inguinal testis). Both measured no more than 1 cm in greatest diameter and were excised laparoscopically. Histologic examination revealed two immature tests, with the abdominal testis demonstrating atrophy. It is well recognized that laparoscopy the high undescended testicle, or identification of testicular remnants. In addition, nonpalpable testicle assists in localization of the undescended testicle or identification of the testicular remnants. In addition,laparoscopic high ligation and division of the gonadal vessels can be performed in cases of the high undescended testicle. Moreover, as demonstrated here, laparoscopy may also allow identification of polyorchia, especially in cases where the proximal testicle is intraabdominal. Inguinal exploration alone may result in failure to recognize a higher duplicated gonad. Failure to recognize and excise the duplicated, potentially dysplastic testicle may place the child at risk for subsequent malignant degeneration.","PeriodicalId":77211,"journal":{"name":"Journal of laparoendoscopic surgery","volume":"6 Suppl 1 ","pages":"S107-14"},"PeriodicalIF":0.0,"publicationDate":"1996-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19801893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Laparoscopic oophorectomy in children. 儿童腹腔镜卵巢切除术。

Journal of laparoendoscopic surgery Pub Date : 1996-03-01

A M Davidoff, A Hebra, J Kerr, P W Stafford

{"title":"Laparoscopic oophorectomy in children.","authors":"A M Davidoff, A Hebra, J Kerr, P W Stafford","doi":"","DOIUrl":"","url":null,"abstract":"Laparoscopy is a well-established diagnostic and therapeutic modality for adult gynecologic surgery. We have sought to assess the feasibility of the laparoscopic approach to a particular gynecologic procedure, oophorectomy, in the pediatric population. Five patients under-went laparoscopic oophorectomy during the past year. The indication for oophorectomy in three cases was ovarian torsion---one in association with a hemorrhagic cyst another with a benign teratoma, and one that occurred prenatally. The fourth patient had a teratoma with significant solid component and the final patient was a young with Turner's syndrome who had laparoscopic exploration and removal of bilateral streak ovaries. Oophorectomy was successfully completed laparoscopically in each patient. In two cases a trocar site had to be widened to remove the specimen from the abdominal cavity. Post operative recovery was prompt, with time to discharge being an average of 2 days. From this experience we conclude that laparoscopic oophorectomy can be successfully accomplished in infants and children. It is technically an easy procedure and has the benefits of excellent visualization of the entire lower abdomen and pelvis including the contralateral ovary, rapid postoperative recovery, and good cosmetic result.","PeriodicalId":77211,"journal":{"name":"Journal of laparoendoscopic surgery","volume":"6 Suppl 1 ","pages":"S115-9"},"PeriodicalIF":0.0,"publicationDate":"1996-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19801894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The use of laparoscopy in the management of seat belt trauma in children. 腹腔镜在儿童安全带创伤治疗中的应用。

Journal of laparoendoscopic surgery Pub Date : 1996-03-01

W E VanderKolk, V F Garcia

{"title":"The use of laparoscopy in the management of seat belt trauma in children.","authors":"W E VanderKolk, V F Garcia","doi":"","DOIUrl":"","url":null,"abstract":"Abdominal wall, hollow viscous, and spinal cord injuries are severe complications of two point seat belt restraints in children. Somatic abdominal wall pain can mask the presence of potentially life-threatening intraperitoneal injuries, false-positive peritoneal lavage can lead to unnecessary celiotomy, and CT scan can miss hollow viscous injury. All of these concerns point to the need for a more effective diagnostic modality. Laparoscopy may have a role in the diagnosis and management of lap belt-related hollow viscous and mesenteric injuries. The presence of either free peritoneal fluid or mesenteric thickening, seen on CT scan, associated with an seat belt-related abdominal wall contusion are criteria for diagnostic laparoscopy. Four patients, age 3 to 15, underwent laparoscopy. Diagnostic laparoscopy employed two additional laterally placed ports and extreme Trendelenburg and reverse Trendelenburg to facilitate the thorough examination of the small bowel. Injuries identified were a severely contused cecum, a contusion of the small bowel with associated mesenteric hematoma, transverse colon contusion and gastric perforation, and a small bowel contusion. No delayed reexplorations were required for missed injuries and there were no complications associated with laparoscopy. This experience suggests that laparoscopy may have a role in the diagnosis and management of seat belt trauma in children.","PeriodicalId":77211,"journal":{"name":"Journal of laparoendoscopic surgery","volume":"6 Suppl 1 ","pages":"S45-9"},"PeriodicalIF":0.0,"publicationDate":"1996-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19800743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Thoracoscopic management of empyema in children. 儿童脓胸的胸腔镜治疗。

Journal of laparoendoscopic surgery Pub Date : 1996-03-01

A M Davidoff, A Hebra, J Kerr, P W Stafford

{"title":"Thoracoscopic management of empyema in children.","authors":"A M Davidoff, A Hebra, J Kerr, P W Stafford","doi":"","DOIUrl":"","url":null,"abstract":"The appropriate management of empyema in children is controversial. Traditional surgical approaches have included thoracotomy and open drainage, decortication, and thoracoplasty. While generally effective, these procedures can be associated with considerable morbidity. We have sought to assess the utility of video-assisted thoracoscopic adhesiolysis and pleural debridement for the treatment of empyema in children. Nine children with postpneumonic empyema unsuccessfully managed with a single attempt at closed tube thoracostomy underwent thoracoscopic drainage during the past 2 years. The empyema was successfully treated with this technique in seven patients with no further interventions being required. Procedures performed early in the fibrinopurulent stage were technically easier. The average time before chest tube removal was 8.5 days. An immunocompromised patient required a subsequent open decortication and a patient with a coagulopathy required two subsequent open procedures for drainage of a recurrent hemothorax. We conclude from this experience that video-assisted thoracoscopic adhesiolysis and pleural debridement can be successfully performed in children. Benefits include good visualization of the entire thoracic cavity for more effective debridement and efficient drainage, and subjectively diminished postoperative pain and associated morbidity.","PeriodicalId":77211,"journal":{"name":"Journal of laparoendoscopic surgery","volume":"6 Suppl 1 ","pages":"S51-4"},"PeriodicalIF":0.0,"publicationDate":"1996-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19800744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Extramucosal pyloromyotomy by laparoscopy. 腹腔镜下粘膜外幽门肌切开术。

Journal of laparoendoscopic surgery Pub Date : 1996-03-01

J L Alain, D Grousseau, B Longis, M Ugazzi, G Terrier

引用次数: 0

A Word from the Guest Editor 客座编辑的一句话

Journal of laparoendoscopic surgery Pub Date : 1996-03-01 DOI: 10.1089/LPS.1996.6.II

T. Lobe

引用次数: 0

Laparoscopic treatment of incarcerated posttraumatic diaphragmatic hernia. 创伤后嵌顿性膈疝的腹腔镜治疗。

Journal of laparoendoscopic surgery Pub Date : 1996-03-01

M Ugazzi, A Chiriboga

引用次数: 0

Laparoscopic exploration of the contralateral groin in children: an improved technique. 腹腔镜探查儿童对侧腹股沟:一种改进的技术。

Journal of laparoendoscopic surgery Pub Date : 1996-03-01

M M Fuenfer, R M Pitts, K E Georgeson

{"title":"Laparoscopic exploration of the contralateral groin in children: an improved technique.","authors":"M M Fuenfer, R M Pitts, K E Georgeson","doi":"","DOIUrl":"","url":null,"abstract":"Repair of inguinal hernias are among the most frequently performed operative procedures in children. Bilateral inguinal hernias (BIH) are common, especially in patients under the age of 2 years, and present both synchronously and metachronously. Most pediatric surgeons perform open exploration of the contralateral groin in infants and young children with symptomatic unilateral inguinal hernias to avoid missing the potential metachronous presentation of BIH. The practice of contralateral groin exploration is controversial because of the increased cost, morbidity, and potentially serious complications associated with open groin exploration. We have developed a technique for laparoscopic exploration of the contralateral groin (LECG) to assess the internal inguinal ring in the asymptomatic groin and to measure the depth of a patent processus vaginalis. A pneumoperitoneum is produced by insufflation through a 14-gauge intravenous catheter placed into the hernia sac of the operated side. A 1.2-mm laparoscope is then passed through another 14-gauge intravenous catheter inserted through the abdominal wall of the contralateral side providing a direct, \"in line\" view of the internal ring. Depth of patency of >1.5 cm was considered positive and a standard operative repair was performed. In 110 children who underwent LECG the incidence of bilaterality was 21%. This technique is rapid, accurate and was associated with no complications.","PeriodicalId":77211,"journal":{"name":"Journal of laparoendoscopic surgery","volume":"6 Suppl 1 ","pages":"S1-4"},"PeriodicalIF":0.0,"publicationDate":"1996-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19800846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0