Dutta Sanjeev, Nehra Deepika, Woo Russell, Cohen Inbal
Division of Pediatric Surgery, Department of Surgery, Lucile Packard Children's Hospital, Stanford University Medical Center, Stanford, CA 94305, USA.
J Pediatr Surg. 2007 Jun;42(6):1141-5. doi: 10.1016/j.jpedsurg.2007.01.045.
Laparoscopy for the resection of liver masses in children has remained undeveloped despite the wide acceptance of laparoscopy in the field of pediatric surgery. The authors report a case of nonanatomical laparoscopic hepatic resection of a large mesenchymal hamartoma in a 2-year-old boy. The procedure was performed using an innovative approach with a combination of different technologies that allowed for a safe and precise resection. This case demonstrates the feasibility of a nonanatomical laparoscopic hepatic resection, even for very large tumors. Both technical expertise and use of novel technologies are necessary to ensure a precise and controlled resection.
尽管腹腔镜检查在小儿外科领域已被广泛接受,但儿童肝脏肿块切除术的腹腔镜技术仍未得到充分发展。作者报告了一例对一名2岁男孩的大型间叶性错构瘤进行非解剖性腹腔镜肝切除术的病例。该手术采用了一种创新方法,结合了不同技术,实现了安全、精确的切除。该病例证明了非解剖性腹腔镜肝切除术的可行性,即使是对于非常大的肿瘤。技术专长和新技术的使用对于确保精确、可控的切除都是必要的。