DUAN Yi-tao,ZHENG Bai-jun,GAO Ya,et al.Laparoscopic liver resection in children: a report of 4 cases[J].Journal of Clinical Pediatric Surgery,,12():110-112.[doi:10.3969/j.issn.1671— 6353.2013.02.010]
Laparoscopic liver resection in children: a report of 4 cases
- Keywords:
- Laparoscopes; Hepatectomy; Child
- Abstract:
- Objetive Laparoscopy for the resection of liver masses in children has remained undeveloped despite the wide acceptance of laparoscopy in the field of adult liver surgery.The authors report 4 cases of nonanatomical or anatomical laparoscopic hepatic resection of children. Methods Four to five trocars were placed. Pneumoperitoneum was established and maintained at 10～12 mmHg during tumor resection. For anatomical left hepatectomy the extra-hepatic artery, potal vein was isolated and ligated.The superior liver parenchyma was then dissected by using Harmonic scalpel. Moderate vessel was dissected by an ultrasonic dissector and sealed by the LigaSure(Valley lab). Finally the linear Endo-GIA was used to staple off the specimen from the hepatic vein. The specimen was removed by an extended umbilical/port incision or a small Pfannenstiel incision. Results There were 2 boys and 2 girls with an age range from 3 months to 4 years old. Operative time was between 100 minute and 340 minute with bleeding of 20～200 mL. No peri-operative complication was observed. The patients have been followed up for 3 months to 6 years and have remained asymptomatic since surgery. Conclusions These cases demonstrate the feasibility of laparoscopic hepatic resection, even for balking large tumors, employing standard principles of liver surgery and safety.
References:
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