Malakounides G, John M, Rex D, Mulhall J, Nandi B, Mukhtar Z
St George's Hospital, London, UK.
Pediatr Surg Int. 2011 Nov;27(11):1245-8. doi: 10.1007/s00383-011-2972-7. Epub 2011 Aug 30.
We present the first two cases of acute neonatal appendicitis operated on through the laparoscopic approach. Acute neonatal appendicitis is uncommon and rarely considered by clinicians when assessing the neonatal acute abdomen. Our two cases demonstrate the potential value of diagnostic laparoscopy in the acute neonatal abdomen that poses a diagnostic dilemma. Furthermore, technical modifications of well-established laparoscopic techniques in the older child enable its use in neonates as a therapeutic tool.
我们报告了首例通过腹腔镜手术治疗的急性新生儿阑尾炎的两个病例。急性新生儿阑尾炎并不常见，临床医生在评估新生儿急腹症时很少会考虑到这种疾病。我们的两个病例显示了诊断性腹腔镜检查在诊断困难的新生儿急腹症中的潜在价值。此外，对大龄儿童成熟腹腔镜技术的技术改进使其能够作为一种治疗工具应用于新生儿。
