Your browser doesn't support javascript.
loading
Use of modified makuuchi incision for surgical treatment of abdominal tumor in children / Use of modified Makuuchi incision for surgical treatment of abdominal tumor in children
Sonmez, Kaan; Turkyilmaz, Zafer; Karabulut, Ramazan; Kaya, Cem; Polat, Fazli; Atan, Ali.
Affiliation
  • Sonmez, Kaan; Gazi University. Faculty of Medicine. Department of Pediatric Surgery. Ankara. Turkey
  • Turkyilmaz, Zafer; Gazi University. Faculty of Medicine. Department of Pediatric Surgery. Ankara. Turkey
  • Karabulut, Ramazan; Gazi University. Faculty of Medicine. Department of Pediatric Surgery. Ankara. Turkey
  • Kaya, Cem; Gazi University. Faculty of Medicine. Department of Pediatric Surgery. Ankara. Turkey
  • Polat, Fazli; Gazi University. Faculty of Medicine. Department of Urology. Ankara. Turkey
  • Atan, Ali; Gazi University. Faculty of Medicine. Department of Urology. Ankara. Turkey
Arch. esp. urol. (Ed. impr.) ; 75(3): 282-286, abr. 28, 2022. ilus, tab
Article in English | IBECS | ID: ibc-203691
Responsible library: ES1.1
Localization: ES15.1 - BNCS
ABSTRACT
OBJECTİVE Classical transverse, vertical abdominal or thoracoabdominal incisions inpediatric patients are frequently used to removelarge abdominal tumors such as hepatoblastomaand neuroblastoma. We present our initial experiences on our patients who was operated by modifiedMakuuchi incision.MATERİALS AND

METHODS:

We used this incisionin 6 cases with large abdominal tumors (1 hepatoblastoma and 5 neuroblastoma and/or ganglioneuroma)between January 2019 and August 2020.

RESULTS:

These patients had previously receivedchemotherapy according to appropiate protocol. Theexposure of surgical field was perfect with this incisionand dissection of the tumors was easily performed.Complete removal of large abdominal tumors was successfully achieved in the patients although the masseshave close proximity and adhesions with importantstructures and organs. There was serous collection in2 patients and it resolved spontaneously. No wound infection, hernia or wound dehiscence was observedduring a mean follow-up of 9.6 months (ranged from3 to18 months).CONCLUSİON According to our preliminary experiences, the Modified Makuuchi incision provides a niceexposure for removal of large abdominal tumors to thesurgeons and is well tolerated by children. (AU)
RESUMEN

OBJETIVO:

Las incisiones clásicastransversa, abdominal vertical o toracoabdominal enpacientes pediátricos son utilizadas frecuentementeen la escisión de tumores abdominales de gran tamaño como el hepatoblastoma y el neuroblastoma.Presentamos nuestra experiencia inicial en pacientesoperados usando la incision de Makuuchi modificada.MATERIALES Y

MÉTODOS:

Usamos esta incision en6 casos con tumores abdominales de gran tamaño (1hepatoblastoma y 5 neuroblastomas y/o ganglioneuroma) entre Enero 2019 y Agosto 2020.

RESULTADOS:

Los pacientes recibieron quimioterapia neoadyuvante según protocolo. La exposicióndel campo quirúrgico, así como la disección del tumor,fue perfecta con esta incisión. Se logró remover la totalidad de los tumores con éxito a pesar de su proximidad y adherencias a órganos vecinos. Dos pacientespresentaron colecciónes serosas que se resolvieronespontáneamente. No se observaron infecciones de herida, hernias o dehiscencia de heridas durante elperíodo de seguimiento con una media de 9.6 meses(rango de 3-18 meses).

CONCLUSIONES:

Según nuestra experiencia preliminar, la incisión de Makuuchi modificada ofrece alcirujano una buena exposición del campo quirúrgicopara la extirpación de tumores abdominales de grantamaño, además de ser bien tolerada por los niños. (AU)
Subject(s)

Full text: Available Collection: National databases / Spain Database: IBECS Main subject: Hepatoblastoma / Ganglioneuroma / Abdominal Neoplasms Limits: Adolescent / Child / Child, preschool / Humans Language: English Journal: Arch. esp. urol. (Ed. impr.) Year: 2022 Document type: Article Institution/Affiliation country: Gazi University/Turkey
Full text: Available Collection: National databases / Spain Database: IBECS Main subject: Hepatoblastoma / Ganglioneuroma / Abdominal Neoplasms Limits: Adolescent / Child / Child, preschool / Humans Language: English Journal: Arch. esp. urol. (Ed. impr.) Year: 2022 Document type: Article Institution/Affiliation country: Gazi University/Turkey
...