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  • 1
    Electronic Resource
    Electronic Resource
    Laparoscopic removal of aganglionic bowel using the Duhamel-Martin method in five consecutive infants (1995)
    Springer
    Pediatric surgery international 10 (1995), S. 226-228 
    Details
    ISSN: 1437-9813
    Keywords: Laparoscopy ; Children ; Duhamel-Martin procedure ; Hirschsprung's disease
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Five consecutive infants had a laparoscopic Duhamel-Martin procedure without colostomy for Hirschsprung's disease. No major problems occured, but the procedures were long-lasting, requiring postoperative intensive care for 1 night in four of teh five patients. In on patient the procedure was converted to an open one, as the quality of the anastomosis was doubtful. It is concluded that the Duhammel-Martin procedure can be carried out safely in a one-stage operation in young infants using a laparoscopic approach.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00177165
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  • 2
    Electronic Resource
    Electronic Resource
    Malignant pancreatic tumour within the spectrum of tuberous sclerosis complex in childhood (1999)
    Springer
    European journal of pediatrics 158 (1999), S. 284-287 
    Details
    ISSN: 1432-1076
    Keywords: Key words Tuberous sclerosis complex ; TSC2 gene ; Loss of heterozygosity ; Pancreas ; Islet cell tumour
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract A 12-year-old boy with tuberous sclerosis complex (TSC) presented with a large retroperitoneal tumour. Exploratory surgery revealed an infiltrative tumour originating from the pancreas, with local metastases to the lymph nodes. The histologal diagnosis was a malignant islet cell tumour. Retrospectively measured pancreatic hormone levels, however, were normal. A connection between the malignancy and TSC was demonstrated by loss of heterozygosity of the TSC2 gene in the tumour. The primary mutation Q478X in this patient was identified in exon 13 of the TSC2 gene on chromosome 16. Conclusion Pancreatic islet cell tumours have been mainly associated with multiple endocrine neoplasia syndrome type 1. In our case we demonstrate a direct relationship of this tumour to tuberous sclerosis complex, in the absence of further signs of multiple endocrine neoplasia syndrome type 1.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s004310051073
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  • 3
    Electronic Resource
    Electronic Resource
    Iron therapy resistant microcytic anaemia in a 13-year-old girl with Castleman disease (1996)
    Springer
    European journal of pediatrics 155 (1996), S. 1015-1017 
    Details
    ISSN: 1432-1076
    Keywords: Key words Castleman disease ; Microcytic anaemia ; Childhood
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract We describe the case history of a 13-year-old girl with chronic fatigue and prolonged microcytic anaemia. She received oral iron since the age of 11 but failed to respond to it. Laboratory studies revealed elevated C-reactive protein and hypergammaglobulinaemia. A large solitary mesenterial lymph node could be demonstrated by ultrasonography and CT. A diagnosis of Castleman disease was suspected and confirmed histologically. After surgical removal of the lymphoma the patient recovered completely. Conclusion Castleman disease should be considered in cases of chronic fatigue, unexplained fever, microcytic anaemia and hypergammaglobulinaemia.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s004310050524
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  • 4
    Electronic Resource
    Electronic Resource
    Laparoscopic treatment of intestinal malrotation in children (1998)
    Springer
    Surgical endoscopy and other interventional techniques 12 (1998), S. 1314-1316 
    Details
    ISSN: 1432-2218
    Keywords: Key words: Malrotation — Laparoscopy — Child
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background: Laparoscopic treatment of intestinal malrotation in children is difficult, and most of our pediatric surgeon colleagues active in the field of laparoscopic surgery tell us that more often than not they must convert to an open procedure. Initially, we experienced much difficulty too, but after modification we were able to master the technique, and now we feel confident. We here describe the actual technique we use. Methods: Our experience encompasses nine children treated during the past 18 months. Five of the children presented in the newborn period and four later. During laparoscopic surgery, it is of paramount importance to concentrate not on the loops of bowel, but on the duodenum. By starting to identify the duodenum, mobilizing it, and carrying on the mobilization of the small bowel down until the whole small bowel has been seen, the pathologic anatomy is easily unraveled. Moreover, an existing volvulus is automatically reduced and the bowel automatically put in a nonrotation position in the abdomen. Results: All patients have done well, and no complications have been noted. Operative time has been reduced to about 1 hour. Conclusions: Laparoscopic treatment of intestinal malrotation in children is not so difficult provided certain rules, as described, are followed.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s004649900848
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  • 5
    Electronic Resource
    Electronic Resource
    Laparoscopic management of a large posttraumatic splenic cyst in a child (1999)
    Springer
    Surgical endoscopy and other interventional techniques 13 (1999), S. 1241-1242 
    Details
    ISSN: 1432-2218
    Keywords: Key words: Children — Laparoscopic — Posttraumatic — Splenic cyst
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract. Splenic cysts are rare in pediatric surgery. Nowadays management consists of partial splenectomy or decapsulation of the cystic wall. The case reported in this article describes the successful laparoscopic decapsulation of the cystic wall in an 11-year-old child.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/PL00009631
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  • 6
    Electronic Resource
    Electronic Resource
    Digital nerve compression due to laparoscopic surgery (1995)
    Springer
    Surgical endoscopy and other interventional techniques 9 (1995), S. 740-740 
    Details
    ISSN: 1432-2218
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00187956
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  • 7
    Electronic Resource
    Electronic Resource
    Trocar fixation during endoscopic surgery in infants and children (1998)
    Springer
    Surgical endoscopy and other interventional techniques 12 (1998), S. 181-182 
    Details
    ISSN: 1432-2218
    Keywords: Key words: Laparoscopy — Trocar fixation — Pediatric surgery
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract. The slipping of trocars is a major problem, especially in pediatric laparoscopic surgery. Although the suturing of a trocar, along with its valve housing, to the fascia or skin is common, this technique only serves to prevent the trocar from being pulled out. We have found that the simple procedure of winding a ±1-cm broad tape several times around the base of the trocar, which has been sutured to the fascia or skin, will prevent the trocar from being pushed in, even during lengthy operations. The tape that we use is derived from sterile disposable drapes and is therefore not only readily available but also an inexpensive solution to a chronic problem.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s004649900626
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  • 8
    Electronic Resource
    Electronic Resource
    Laparoscopic clipping of the median sacral artery in huge sacrococcygeal teratomas (1998)
    Springer
    Surgical endoscopy and other interventional techniques 12 (1998), S. 882-883 
    Details
    ISSN: 1432-2218
    Keywords: Key words: Sacrococcygeal teratoma — Median sacral artery ligation — Laparoscopy — Newborn
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract. Huge sacrococcygeal teratomas in the newborn can cause significant morbidity and even death due to cardiac failure, hemorrhage, or both. Surgical removal is the treatment of choice, but can indicate these events. Ligation of the median sacral artery, which always supplies the tumor, prior to its removal has been advocated, but in the past this procedure required a formal laparotomy. Nowadays, it can be easily accomplished laparoscopically, as this case report demonstrates.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s004649900735
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  • 9
    Electronic Resource
    Electronic Resource
    Is laparoscopic pyloromyotomy superior to open surgery? (1998)
    Springer
    Surgical endoscopy and other interventional techniques 12 (1998), S. 813-815 
    Details
    ISSN: 1432-2218
    Keywords: Key words: Hypertrophic pyloric stenosis — Laparoscopy — Children
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background: We set out to determine whether laparoscopic pyloromyotomy (LPM) is superior to open pyloromyotomy (OPM) in babies with hypertrophic pyloric stenosis (HPS). Methods: We performed a retrospective study of 36 LPM and 36 OPM. Both groups were comparable in terms of sex, age and weight on admission, and blood pH on admission and prior to surgery. In the LPM group, three trocars were used; in the OPM group, a small right upper quadrant transverse muscle-cutting laparotomy was carried out. Results: LPM produces a better cosmetic result, seems to produce less postoperative discomfort, and results in the absence of conversion in a shorter hospital stay. However, the duration of the operation was significantly longer (32 versus 18 min). Moreover, LPM clearly entailed more complications (three mucosal perforations against two, and two reoperations against none in the open group). Conclusions: The actual series does not favor the laparoscopic approach over the open one, in view of the relatively high complication rate. Babies who are operated laparoscopically, however, seem to have less postoperative discomfort, a shorter hospital stay, and a better cosmetic result. As we are confident that the complication rate and duration of the operation will drop with further experience, we will continue to do LPM. LPM is not easy and should only be carried out when substantial experience has been gained in the field of pediatric laparoscopic surgery.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s004649900719
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  • 10
    Electronic Resource
    Electronic Resource
    Laparoscopic Thal fundoplication in mentally retarded children (1996)
    Springer
    Surgical endoscopy and other interventional techniques 10 (1996), S. 659-661 
    Details
    ISSN: 1432-2218
    Keywords: Antireflux operation ; Thal procedure ; Laparoscopy ; Mentally retarded children
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background: An increasing number of reports indicate that Thal fundoplication is the procedure of choice in mentally retarded children. With the advent of laparoscopy, Nissen's fundoplication seems to have been repopularized. However, the choice of the operative technique should be based on the merits of the procedure itself rather than the laparoscopic feasibility. The aim of this study is to determine if laparoscopic Thal fundoplication is beneficial for mentally retarded children. Methods: Between November 1993 and 1994 laparoscopic Thal fundoplication was performed in 15 mentally handicapped children; 13 also had a feeding gastrostomy. Age varied from 1.5 to almost 17 years (mean 7 years). Mean weight was 18 kg (5–50 kg). All patients underwent an upper GI study and endoscopy as well as pre- and 3 months postoperative pH study. Indications for the procedure were reflux esophagitis in 11 and feeding problems with silent reflux in 4. Results: The laparoscopic procedure was converted in the second patient because of bleeding in the hiatus. No further procedure-related intra- or postoperative complications occurred. The mean hospitalization was 3.7 days. No symptomatic postoperative gastroesophageal reflux has been observed. All children have undergone postoperative pH studies, which displayed silent reflux in two. Gastrostomy feeding is well tolerated. Conclusion: We conclude that Thal fundoplication can be performed laparoscopically in mentally retarded children. The laparoscopic results are comparable to the open Thal procedure.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00188523
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