RESUMEN
22 children with tumors or other surgical diseases of the adrenal glands were operated on laparoscopically. Children aged from 5 months to 17 years. Operation lengths varied from 45 to 190 minutes. There were no lethal outcomes, conversions and serious complications of the procedure. Authors consider the laparoscopic adrenalectomy to be the safe and widely appropriate method for the use in juvenile cathegory of patients.
Asunto(s)
Enfermedades de las Glándulas Suprarrenales/cirugía , Adrenalectomía/métodos , Endoscopía/métodos , Complicaciones Intraoperatorias/prevención & control , Adolescente , Enfermedades de las Glándulas Suprarrenales/etiología , Enfermedades de las Glándulas Suprarrenales/patología , Enfermedades de las Glándulas Suprarrenales/fisiopatología , Glándulas Suprarrenales/patología , Glándulas Suprarrenales/fisiopatología , Glándulas Suprarrenales/cirugía , Niño , Preescolar , Femenino , Humanos , Lactante , Masculino , Cuidados Posoperatorios/métodos , Factores de Tiempo , Resultado del TratamientoRESUMEN
The article revises the first experienced of laparoscopic geminephrouretherectomy in our country. 5 children aged 3-14 years were operated on. In 1 case of double ureter the laparoscopic ureterectomy was performed, the rest 4 patients experienced geminephrouretherectomy (2 left and 2 right).The operative time was 100-180 minutes. There were no intra- and postoperative complications. All children were discharged on 6-12th postoperative day. Follow-up examination verified perfect cosmetic and functional results.
Asunto(s)
Riñón/anomalías , Riñón/cirugía , Laparoscopía/métodos , Nefrectomía , Uretra/cirugía , Niño , HumanosRESUMEN
The results of treatment of 51 children at the age over 1 year with intestinal invagination were analysed. Intestinal invagination in them is caused by the organic factors, the course is atypical, clinical signs--as in other acute abdominal diseases. For timely diagnosis of intestinal invagination, it is necessary to use the roentgenological, endoscopic methods of investigation and laparoscopy. Rational tactics permitted the authors to achieve the positive results of treatment in all the patients.