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Revista Mexicana de Cirugía Pediátrica

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2005, Number 2

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Rev Mex Cir Pediatr 2005; 12 (2)

They owe the medical residentes to carry out laparoscopic funduplications?

Padilla-Cuevas R, Romero-Montes VE, González-Romero G, Olvera-Duran JA, Nava-Carrillo AD
Full text How to cite this article

Language: Spanish
References: 9
Page: 86-89
PDF size: 134.67 Kb.


Key words:

Laparoscopic surgery, Laparoscopic funduplications.

ABSTRACT

Introduction:The laparoscopic surgery currently is the method of election in the processing for the reflux gastroesofágico in the patient one pediatric. Due to that in our service of pediatric surgery count on training in surgery of most minimally invasive, we wanted to know if increases the morbidity, motive of execution of the present job.
Material and methods: We admitted 58 patients in 20 months to whom was carried out laparoscopic funduplications, They were excluded 35 funduplications open carried out in the same one period. Funduplications of 360º in seven and of 270º in 50 patient, a previous incomplete funduplication.
Results: 58 funduplications in patients from eighth months to 17 years.Male 36 and 22 female. Diagnosis of GER in 57 patients and in a patient hiatal hernia. by medical senior 24 and 35 by resident. Pneumoperitoneo of 10 mm of hg. Operative time since 220 minutes until 60 minutes.The whole was of complications of 8.6%. The bigger of the complications itself was to make in the first four months of study in four patients (5.2%). Posoperative symptoms: Feverish peak posoperative in five patients.Pain in right shoulder in two patients in the postoperative.
Conclusions: It is feasible that difficulties they be presented and complications in the beginning of the training of the surgeon in minimally invasive surgery. The complications that themselves was to make in our study are similar to the of other revisions.


REFERENCES

  1. Allal H, Captier G, Lopez M, Forgues D, Galifer RB. Evaluation of 142 consecutive laparoscopic fundoplications in children: effects of the learning curve and technical choice. Department of Visceral Pediatric Surgery, Lapeyronie Hospital, Montpellier, France J Pediatr Surg 2001; 36: 921-6.

  2. Experience with 220 consecutive laparoscopic Nissen fundoplications in infants and children. Columbia Presbyterian/St Lukes Medical Center, Denver, Colorado, USA. J Pediatr Surg 1998; 33: 274-8.

  3. Meehan JJ, Georgeson KE. Laparoscopic fundoplication in infants and children.

  4. Division of Pediatric Surgery, Department of Surgery, The Children’s Hospital of Alabama, 300 ACC, 1600 7th Avenue South, Birmingham, AL 35233, USA. Surg Endosc 1996; 10: 1154-7.

  5. Esposito C, Ascione G, Garipoli V, De Bernardo G, Esposito G. Complications of pediatric laparoscoic Surgery, Department of pediatrics, Division, Division of pediatric surgery, “ Federico II” University of Napoles, Via Pansini 5, 80131 Napoli, Italy.

  6. Georgeson KE. Laparoscopic fundoplication and gastrostomy. Sem Lap Surg 1988; 5: 25-30.

  7. Tovar JA, Olivares P, Diaz M, Pace RA, Prieto G, Molina, M. Functional results of laparoscopic fundoplication in children. J Pediatr Gastroenterol Nutr 1988; 26: 429-31.

  8. Esposito C, Montupet P, Amici G, Desruelle P. Complications of laparoscopic antireflux surgery in childhood. Surg Endosc 2000; 14: 622-4.

  9. Kubiak R, Spitz L, Kiely EM, Drake D Pierro A. Effectiveness of fundoplication in early infancy. J Pediatr Surg 1999; 34: 295-9.




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Rev Mex Cir Pediatr. 2005;12