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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Fig. 1 The cannula is kept steady by the 3 mm grasper and pierced by the needle.

Minimally invasive Morgagni-Larrey hernia repair in children: a new and simple trick in suturing technique

  ABSTRACT Background: Literature is littered with descriptions of the minimally invasive repair of  Morgagni-Larrey hernias in children. However, there are few reports about the diaphragmatic defect suture. The aim of this study is to describe a simplified trick to perform a simple and safe suturing technique. Methods: 2 children with left Morgagni-Larrey hernia underwent […]

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Primary laparoscopic excision of benign mature retroperitoneal teratoma

ABSTRACT Introduction: Retroperitoneum is the third most common extragonadal site for occurrence of teratoma in children, after sacrococcygeal region and gonadal sites. Although many authors have previously reported laparoscopic removal of benign retroperitoneal teratoma in adults, the experience in pediatric setting is extremely limited. Material and methods: We report our experience with laparoscopic excision of a […]

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Intra-operative view; isolated tubal torsion.

Laparoscopic treatment of acute abdominal/pelvic pain for gynaecological condition in young female

  ABSTRACT Introduction The aim of this study was to report our experience with acute abdominal/pelvic pain in young female. Materials and Methods We recorded the cases of female patients aged between 3 and 16 years treated at our Institution for acute abdominal/pelvic pain between January 2005 and December 2013. Radiological and surgical findings were […]

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