RESUMO
This is a report of our initial experience with laparoscopic splenectomy in children. From August 1997 to March 1999, 19 patients underwent laparoscopic splenectomy for various hematologic disorders. The ages ranged from 3 to 13 years. A four port technique was used to perform the procedure. All 19 procedures were completed successfully laparoscopically. The average surgical blood loss was 60 cc. The average operative time was 138 min and the length of stay in the hospital 2.5 days. One patient required a reintervention because of postoperative bleeding. We discuss the learning curve in our laparoscopic splenectomy cases.
Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Criança , Adolescente , Esplenectomia/métodos , Esplenopatias/cirurgia , Complicações Pós-Operatórias , Estudos Prospectivos , Laparoscopia/métodos , Resultado do TratamentoRESUMO
Partial nephrectomy combined with chemotherapy has been the most effective treatment in bilateral Wilms tumors. We present two cases. The bilateral synchronous tumor are present in 4.2% and the metachronous tumor in 1.6%, in the world statistics. The synchronous bilateral Wilms tumor, Stage V, have an excellent prognosis: over 87% survival, compared to 40% of the metachronous bilateral Wilms tumors
Assuntos
Humanos , Masculino , Feminino , Lactente , Tumor de Wilms/terapia , Neoplasias Primárias Múltiplas/terapia , Neoplasias Renais/terapia , Nefrectomia/métodos , Tumor de Wilms/patologia , Neoplasias Primárias Múltiplas/patologia , Neoplasias Renais/patologia , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Terapia CombinadaRESUMO
The author presents the salient aspects of anorectal malformation which allow us to simplify their anatomical diagnosis. In many cases only clinical means are used while in others adequate use of technical studies are necessary. This enables us to reach therapeutic decisions in the simplest and most orderly fashion so that patients with these anomalies may be given the opportunity of attaining normal or near normal function
Assuntos
Humanos , Masculino , Feminino , Recém-Nascido , Reto/anormalidades , Canal Anal/anormalidades , Anus Imperfurado/diagnóstico , Fístula Retal/congênito , Fístula Retal/diagnóstico , Períneo/anormalidadesRESUMO
The clinical record is reported of two female girls, 4 1/2 and 5 1/2 years old, who were reported in 1988 at the Children's Hospital in this City with diagnosis of perforated Cholodochal supurated cyst and who were asymptomatic when they left the hospital. It is mentioned that another four patients had been operated in the same hospital, between 1981 and 1987, with choledochal cyst diagnosis