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Articles: brief original works.

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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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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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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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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Laparoscopy: left IFTT with necrosis of the tube and normal ipsilateral ovary.

Role of Laparoscopy in the Management of Isolated Fallopian Tube Torsion in Adolescents

  ABSTRACT Background/Purpose Isolated Fallopian tube torsion (IFTT) is a rare cause of acute abdominal pain in female. The preoperative diagnosis is difficult because of a lack of specific clinical and radiological signs. Surgery is often performed when is no longer possible to preserve the integrity of the tube. We report our experience in the […]

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Fig 6:  Laparoscopic-assisted mesocolon dissection performed in a 6 years-old child: the mesenteric dissection proceeds until the distal exteriorization of the colon is possible.

Technical Modification of the Georgeson Procedure for Hirschsprung’s Disease: a 12 Years Experience with the Laparoscopic-Assisted Mesocolon Dissection

  ABSTRACT Introduction: Actually the primary laparoscopic endorectal colon pull-through, reported by Georgeson, is the gold standard in the treatment of Hirschsprung’s disease. In this procedure the dissection of the aganglionic colon is performed laparoscopically. We describe a technical modification of the Georgeson procedure: the laparoscopic-assisted mesocolon dissection. Methods: A retrospective analysis was performed on […]

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Figure 5. Tracheoscopy: upper and lower coexisting TEFs

Endoscopic Airway Evaluation in Congenital Tracheoesophageal Fistula. Pediatric airway endoscopy

Abstract: Introduction. The communication between the trachea and esophagus is called tracheoesophageal fistula (TEF). It can occurs as a congenital  malformation (0.025-0.05%) (in particular related to the esophageal atresia) or can occurs as an acquired pathology. Endoscopic evaluation is the gold standard for the diagnosis of TEF and must be performed, in presence of symptoms […]

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