Ports placement for MLC.

Three-port minilaparoscopic cholecystectomy in children: a single center experience

Abstract Background: Laparoscopic cholecystectomy is the treatment of choice in symptomatic pediatric cholelithiasis. This study attempts to determine whether further reductions in the number of ports and port size can improve postoperative pain and traumatism without compromising the efficacy of the surgery. Methods: From 2011 to 2016, 32 patients underwent laparoscopic cholecystectomy. Twelve out of […]

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Robot assisted pediatric surgery: review of comparative studies focusing on complications

Abstract Robotic surgery, has had a progressive development also in the pediatric field. The aim of this report is to revise the existing pediatric literature focusing on the incidence of complications in robot-assisted surgery (RAS) compared to conventional minimally invasive surgery (MIS) and open approaches. We selected comparative studies published in Pubmed database. We found […]

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Figure 3. Intraoperative evidence of hernia developed through previous laparoscopic access.

Laparoscopic surgery in children: abdominal wall complications

Abstract Minimal invasive surgery has become the standard of care for operations involving the thoracic and abdominal cavities for all ages. Laparoscopic complications can occur as well as more invasive surgical procedures and we can classify them into non-specific and specific. Our goal is to analyze the most influential available scientific literature and to expose […]

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Figure 2: the 13 mm needle could not be detected radiologically; therefore, the needle was found through a systematic laparoscopic search.

Lost needles during pediatric laparoscopic surgery: proposition of an algorithm derived combining a pediatric minimally invasive surgery center’s experience and literature analysis

  Abstract INTRODUCTION: we are the first to propose an algorithm to apply when a needle is lost during a pediatric laparoscopic procedure. MATERIALS AND METHODS: we derived this protocol combining our experience with the current literature on the subject. RESULTS: the event of losing a needle during a minimally invasive procedure has occurred three […]

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 A: Abdominal CT demonstrates a large (8 x 5 x 4 cm) retroperitoneal cystic mass (white arrows) extending from the lower left kidney pole to the ureter intersection with iliac vessels, tightly adhered to the left ureter. B: Relationship between the lymphangioma (asterisk) and spermatic vessels (arrow). C: T2-weighted MRI showing the close relationship between the mass (asterisk) and the left ureter (arrow).

Laparoscopic Management of retroperitoneal cystic lymphangiomas in children: a systematic review and an additional case report

Abstract AIM: Retroperitoneal cystic lymphangiomas (RCLs) are rare vascular malformations which account for approximately 1% of all lymphangiomas in infancy. Surgical treatment of RCLs may be particularly challenging, due to their possible connection with vital structures. Laparoscopic excision has been recently described for RCLs also in pediatric patients, with only 14 published cases. METHODS: Authors […]

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Management of pediatric pheochromocytoma. A review of the literature

  ABSTRACT Introduction Pheochromocytoma is a tumor originated from the chromaffin tissue of the adrenal medulla or from extra-adrenal paraganglionic tissue. Pheochromocytomasare extremely rare in the pediatric population, accounting for 1% of pediatric hypertension. Material and Methods The Authors conduced a systematic review of the pediatric PCC focusing on the indications and surgical technique. Results […]

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Figure 1 CT scan shows a left adrenal pheochromocytoma

Laparoscopic surgery and hemodynamic changes during adrenalectomy for pheochromcytoma in childhood: management of two cases and literature review

ABSTRACT Pheochromocytoma (PCC) is a catecholamine-secreting tumor arising from chromaffin cells of the adrenal medulla and extra-adrenal sites. Approximately 10% of this rare tumor is found in pediatric age group. Perioperative management of pheochromocytoma is a challenge that requires a multidisciplinary approach for optimal care and successful outcome. Surgical resection remains the mainstay treatment of […]

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