Laparoscopic management of ovarian cysts in newborns

Esposito, Ciro; Garipoli, V.; Matteo, G. Di; Pasquale, M. De

doi:10.1007/s004649900804

Cited by 62 publications

(26 citation statements)

References 16 publications

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“…The specific indication for intervention varied between the reports (e.g., functional large cysts, complex cysts appearing as dermoid/neoplastic). Therapeutic intervention included cyst aspiration, excision or decapsulation and ovariectomy) [16,17]. This group of procedures has also been shown in this systematic review to be feasible and safe.…”

Section: Discussionmentioning

confidence: 92%

Feasibility of complex minimally invasive surgery in neonates

et al. 2009

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The aim of this study was to assess the feasibility of complex minimally invasive surgery in neonates (and infants <5 kg). A systematic search of databases was performed. Inguinal herniotomy and pyloromyotomy were specifically excluded. Various operations were assessed for operative times, conversion rates, complications and centres performing the procedures. From 479 abstracts, 50 papers were identified describing 1,215 patients. Common operations performed were fundoplication (n = 473), operations for ovarian pathology (n = 151) and oesophageal atresia repair (n = 123). Other not-so-common operations included Kasai procedure (n = 61), Ladd's procedure (n = 55), bowel atresia surgery (n = 45) and congenital diaphragmatic hernia repair (n = 41). Mean operation times varied from 43 min for fundoplication to 209 min for Kasai procedure, with other operation times falling in between the two extremes. Likewise, conversion rates varied from 0.2% for fundoplication to 15% for congenital diaphragmatic hernia, with other conversion rates falling in between. Complications ranged from 0 to 67%. About 70-94% of the cases were performed in six pioneering centres. Fundoplication and operations for ovarian pathology have low complication and conversion rates and appear to be well suited to the average-trained paediatric laparoscopic surgeon. More complex procedures are feasible and safe, but technically demanding and need further expertise.

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Section: Discussionmentioning

confidence: 92%

Feasibility of complex minimally invasive surgery in neonates

et al. 2009

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“…The transperitoneal route then was preferred because it is easier to perform and allows the surgeon to work in the wider and more familiar peritoneal chamber [13].…”

Section: Discussionmentioning

confidence: 99%

Current indications for laparoscopy and retroperitoneoscopy in pediatric urology

2004

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Laparoscopy has raised great interest in the past few years in the field of pediatric urology. It has evolved from a simple diagnostic maneuver to complex operative procedures. The aim of this study was to review urologic laparoscopy literature and provide a critical review of this field to establish current indications for videosurgery in pediatric urology. In general, from an anatomic point of view, retroperitoneoscopy seems to be more suitable than the transperitoneal laparoscopic approach for reaching the upper urinary tract. It also is less invasive and complies with the criteria for open renal surgery. With respect to current indications for videosurgery in pediatric urology, the authors have identified several well-established clinical procedures, although no large series have been published for any of the procedures, except for the treatment of varicocele, nonpalpable testis, and nephrectomy. In conclusion, the data reviewed suggest that videosurgery is a safe and feasible technique in pediatric urology if performed by expert surgeons, and that it certainly will develop further in the next few years.

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“…Small and uncomplicated cysts have a general tendency to regress during the first 6 months of life [2].…”

Section: Case Reportmentioning

confidence: 99%