Successful laparoscopic cholecystectomy in a child with upper transverse scarring: Report of a case
Successful laparoscopic cholecystectomy in a child with upper transverse scarring: Report of a case
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上横疤痕儿童成功腹腔镜胆囊切除术：一例报告
DOI：
10.1007/s005950050261
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发表时间：
2010
期刊：
影响因子：
2.5
通讯作者：
A. Okada
中科院分区：
文献类型：
--
作者：
K. Nakajima;Y. Fukui;S. Kamata;N. Usui;Takashi Kobayashi;H. Nakai;M. Fukuzawa;A. Okada
一名4岁男童因在新生儿期进行肠道手术，导致上腹部有一长条横向手术疤痕，因此安全地施行了腹腔镜胆囊切除术(LC)。疤痕下的粘连被急剧分割，有时被凝结，随着粘连溶解的进行，随后放置了额外的工作口。LC手术采用常规方式，使用5 mm钛夹，术后过程平稳。这一病例报告表明，即使对于有过腹部大手术经历的儿科患者，腹腔镜手术也是可行的。
Laparoscopic cholecystectomy (LC) was safely performed for cholelithiasis in a 4-year-old boy who had a long transverse operative scar in the upper abdomen as a result of intestinal surgery performed during the neonatal period. The adhesions beneath the scar were sharply divided and sometimes coagulated, and additional working ports were subsequently placed as the adhesiolysis proceeded. LC was performed in the usual fashion using 5-mm titanium clips, and his postoperative course was uneventful. This case report serves to demonstrate that laparoscopic surgery is feasible even for pediatric patients who have undergone previous major intraabdominal surgery.