RESUMO
BACKGROUND: Laparoscopic cholecystectomy is the standard current treatment in adults with cholelithiasis, the experience in children has been reported recently. OBJECTIVE: To report the utility and results with this new technology in the pediatric age. METHODS: We found six children, 10 to 15 years old, with gallbladder lithiasic disease, all were operated with a modified laparoscopic cholecystectomy technique. RESULTS: The operation was performed without complications, the average surgical time was 90 minutes, and the recover, was short and successful. CONCLUSIONS: Laparoscopic cholecystectomy in children can be safe and effective.
Assuntos
Colecistectomia Laparoscópica , Adolescente , Fatores Etários , Criança , Colelitíase/cirurgia , Estudos de Avaliação como Assunto , Feminino , Humanos , Masculino , Fatores de TempoRESUMO
A case of pancreatic pseudocyst (PP) in a 22 month old girl is described. The lesion was huge and posed diagnostic difficulties which led to an inadequate procedure. The anatomic lesion consisted of a lymphocytic pancreatitis associated with two previous episodes of "erratic migration" of Ascaris lumbricoides. Physiopathology and clinical picture is discussed and emphasis is made on the need of suspicion of pancreas as the site of origin of disease in spite of short age.
