World journal of Minimal Access Surgery Volume No 5

Original Article Open Access

Laparoscopic and Laparoscopic Assisted Management of Intra- Abdominal Cystic Lesions in Infants and Children

Sajad Wani, Gowhar Mufti, Nisar Bhat and Eajaz Baba
World journal of Minimal Access Surgery 2017, 5:1

Abstract

Background

Intra-abdominal cystic lesions in infants and children are relatively common and complete excision of the cyst is the treatment of choice. With the development of laparoscopy, pediatric laparoscopy is being applied to diverse conditions. The aim of this study was to evaluate the laparoscopic management of intraadominal cystic lesions in infants and children using the Tan Bianchi approach.

Material and Methods

Infants and children with different types of intra-abdominal cystic lesions were included in the study. After establishing the pneumoperitonium by open technique, cysts were decompressed and partially or completely dissected depending upon the nature of the cyst. Using the Tan Bianchi approach, cyst was delivered out for final excision or resection.

Results

The age of patients ranged from 4 months to 6 years with mean age of 2.7 years. Fourteen patients were included in the study, which included 6 mesenteric cysts, 3 duplication cysts, 3 omental cysts and 2 ovarian cysts. No intraoperative or postoperative complication was encountered. The mean hospital stay was 3 days.

Conclusion

Laparoscopic or laparoscopic assisted management of intra-abdominal cystic lesions combining withTan Bianchi approach is good alternative to open surgery. It is safe, simple and effective technique even for surgeons with less experience in intracorporeal suturing.

Keywords

Intraabdominal cystic lesions, Laparoscopic, Tan Bianchi umbilicotomy, Infants and children.




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