Single-Incision Laparoscopic Approach to Management of Splenic Pathology in Children: An Early Experience

被引:9
作者
Garrett, Deiadra [1 ,2 ,3 ]
Emami, Claudia [1 ,2 ]
Anselmo, Dean M. [1 ,2 ,3 ]
Torres, Manuel B. [1 ,2 ,3 ]
Nam Nguyen [1 ,2 ,3 ]
机构
[1] Univ So Calif, Dept Pediat Surg, Childrens Hosp Los Angeles, Los Angeles, CA 90027 USA
[2] Univ So Calif, Keck Sch Med, Los Angeles, CA 90027 USA
[3] Miller Childrens Hosp, Long Beach, CA USA
来源
JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES | 2011年 / 21卷 / 10期
关键词
INITIAL-EXPERIENCE; SURGERY; CHOLECYSTECTOMY; SPLENECTOMY;
D O I
10.1089/lap.2011.0148
中图分类号
R61 [外科手术学];
学科分类号
摘要
Purpose: Certain splenic conditions in children require surgical interventions, the majority of which are approached via standard laparoscopy with multiple incisions. The single-incision laparoscopic (SIL) technique is gaining popularity. The aim of this study is to review our institutional experience using the SIL technique to surgically manage different splenic pathology in the pediatric population. Methods: A retrospective review was performed of the patients who underwent SIL splenic procedures at Miller Children's Hospital (Long Beach, CA) from January 2009 to December 2010. Results: Seven patients underwent a SIL technique for different splenic diseases. Five patients underwent splenectomy, 1 patient underwent a splenic cystectomy and omental patching, and 1 patient underwent reduction of splenic torsion and splenopexy. There were no conversions to open. Six procedures were successfully performed without the need for an additional trocar. However, 1 patient required an additional grasper through a separate stab incision. There were no intraoperative complications. One patient had a superficial wound infection at 2-week postoperative follow-up, which resolved with local wound care. Conclusions: Our preliminary experience shows the SIL technique for the management of splenic pathology in children is safe and feasible.
引用
收藏
页码:965 / 967
页数:3
相关论文
共 19 条
[1]   Single Incision Laparoscopic Splenectomy: The First Two Cases [J].
Barbaros, Umut ;
Dinccag, Ahmet .
JOURNAL OF GASTROINTESTINAL SURGERY, 2009, 13 (08) :1520-1523
[2]   Single-incision laparoscopic appendectomy vs multiport laparoscopic appendectomy in children: a retrospective comparison [J].
Chandler, Nicole M. ;
Danielson, Paul D. .
JOURNAL OF PEDIATRIC SURGERY, 2010, 45 (11) :2186-2190
[3]   Early experience with single incision laparoscopic surgery: eliminating the scar from abdominal operations [J].
Dutta, Sanjeev .
JOURNAL OF PEDIATRIC SURGERY, 2009, 44 (09) :1741-1745
[4]   Pediatric single incision laparoscopic cholecystectomy: lessons learned in the first 25 cases [J].
Emami, Claudia N. ;
Garrett, Deiadra ;
Anselmo, Dean ;
Nguyen, Nam X. .
PEDIATRIC SURGERY INTERNATIONAL, 2011, 27 (07) :743-746
[5]  
Emami CN, 2010, AM SURGEON, V76, P1047
[6]   A single institution's experience with single incision cholecystectomy compared to standard laparoscopic cholecystectomy [J].
Fronza, Jeffrey S. ;
Linn, John G. ;
Nagle, Alexander P. ;
Soper, Nathaniel J. .
SURGERY, 2010, 148 (04) :731-734
[7]   A review of single site minimally invasive surgery in infants and children [J].
Garey, Carissa L. ;
Laituri, Carrie A. ;
Ostlie, Daniel J. ;
St Peter, Shawn D. .
PEDIATRIC SURGERY INTERNATIONAL, 2010, 26 (05) :451-456
[8]   Single-incision laparoscopic splenectomy [J].
Joshi, Manish ;
Kurhade, Shrikant ;
Peethambaram, M. S. ;
Kalghatgi, Suhas ;
Narsimhan, Mohan ;
Ardhanari, Ramesh .
JOURNAL OF MINIMAL ACCESS SURGERY, 2011, 7 (01) :65-67
[9]  
Kossi J, 2010, DIAGN THER ENDOSC, V2010
[10]   Single Access Laparoscopic Splenectomy [J].
Malladi, Preeti ;
Hungness, Eric ;
Nagle, Alex .
JSLS-JOURNAL OF THE SOCIETY OF LAPAROENDOSCOPIC SURGEONS, 2009, 13 (04) :601-604