extrahepatic-bile-duct-gall-bladder-dissection-nine-day-old-mouse

Extrahepatic Bile Duct and Gall Bladder Dissection in Nine-Day-Old Mouse Neonates

The dissection of murine neonatal bile ducts has been described as difficult. The main aim of the described standard operating procedure is the isolation ...

University Medical Center Hamburg-Eppendorf

Research Laboratory for Pediatric Surgery

Patients suffering from complete colonic aganglionosis (TCA) require the best surgical care possible. Only a few studies reported J-Pouch repair as the primary reconstructive surgery in TCA patients. This study adds to the current literature a thorough clinical and functional outcomes group.

Colectomy Followed by J-Pouch Reconstruction to Correct Total Colonic Aganglionosis.

The aim of this paper is to assess the effectiveness and perioperative complications of splenic surgeries in children. In 41 splenectomies, an anterior abdominal laparoscopic approach was used, with 35 including a partial laparoscopic splenectomy. Of these, three needed a conversion to open. Six patients had a total splenectomy, three of which were open. Patients ranged in age from 5 to 18 years. Splenectomy was performed for a variety of causes, including hereditary spherocytosis ( = 20), splenic cysts ( = 13), sickle cell disease ( = 3), primary malignancy ( = 1), sepsis ( = 1), embolism ( = 1), anemia ( = 1), and hypersplenism ( = 1). The average length of stay was 7.6 days, and the average operation time was 169.3 min. Pleural effusion in the left hemithorax was found in 31.6% of the patients, with 5.3% requiring a thorax drain. The majority of patients had the highest platelet count two weeks after surgery. There was no evidence of wound infection, pancreatic leak, colon perforation, or postoperative sepsis. The most encountered perioperative complication was bleeding with the need of transfusion ( = 6), and one patient needed a diaphragm repair. A partial splenectomy (PS) can be a difficult procedure with a steep learning curve. For most children who require a splenic operation, this should be the primary procedure of choice.

Article	Year
Colectomy Followed by J-Pouch Reconstruction to Correct Total Colonic Aganglionosis. Children (Basel, Switzerland)\| PubMed ID: 35053726	2022
Limits in Laparoscopic Partial Splenectomy in Children. Children (Basel, Switzerland)\| PubMed ID: 35626782	2022

Johanna Hagens

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