Laparoscopic resection of ileocaecal duplication in children (report of 15 cases)

Background: Enteric duplication is a congenital anomaly with varied clinical presentation that requires surgical resection for definitive treatment. Ileocaecal (IC) duplications are duplications located at the IC junction, not clearly identified in all the published series. The reported treatment is...

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Main Authors: Jianlei Chen, Jian Wang, Zhicheng Gu, Shungen Huang, Jie Zhu, Bin Wu, Zhenwei Zhu, Peng Cai, Chao Sun
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Journal of Minimal Access Surgery
Subjects:
Online Access:http://www.journalofmas.com/article.asp?issn=0972-9941;year=2020;volume=16;issue=4;spage=372;epage=375;aulast=
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author Jianlei Chen
Jian Wang
Zhicheng Gu
Shungen Huang
Jie Zhu
Bin Wu
Zhenwei Zhu
Peng Cai
Chao Sun
author_facet Jianlei Chen
Jian Wang
Zhicheng Gu
Shungen Huang
Jie Zhu
Bin Wu
Zhenwei Zhu
Peng Cai
Chao Sun
author_sort Jianlei Chen
collection DOAJ
description Background: Enteric duplication is a congenital anomaly with varied clinical presentation that requires surgical resection for definitive treatment. Ileocaecal (IC) duplications are duplications located at the IC junction, not clearly identified in all the published series. The reported treatment is IC resection and ileocolic anastomosis. The purpose of our study was to present our experience in successfully resection of IC duplication by laparoscope, thus avoiding bowel resection in children. Materials and Methods: A retrospective review was conducted of medical records of 15 patients with diagnosis of IC duplication, treated in the Department of Paediatric Surgery of our hospital, within the period from November 2013 to September 2018. Results: Laparoscopic resection of IC duplication was successfully performed in all children without bowel resection. The operation time was 50-90 min (55 ΁ 10 min), and the post-operative hospitalization time was 5-7 days (average, 6 days). The 15 patients were followed up for 6-12 months (average, 10 months). No recurrence was found by abdominal ultrasound examination. The wound had small scars with good appearance of umbilicus. Conclusions: The laparoscopic approach allows for confirming the diagnosis and accurately defining the exact site of duplication, as well as for effective and safe treatment. Laparoscopic excision of IC duplication without bowel resection is a safe option and is worth promoting.
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spelling doaj.art-566a32784c624654a43726716c3a0b842022-12-22T01:54:00ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212020-01-0116437237510.4103/jmas.JMAS_120_19Laparoscopic resection of ileocaecal duplication in children (report of 15 cases)Jianlei ChenJian WangZhicheng GuShungen HuangJie ZhuBin WuZhenwei ZhuPeng CaiChao SunBackground: Enteric duplication is a congenital anomaly with varied clinical presentation that requires surgical resection for definitive treatment. Ileocaecal (IC) duplications are duplications located at the IC junction, not clearly identified in all the published series. The reported treatment is IC resection and ileocolic anastomosis. The purpose of our study was to present our experience in successfully resection of IC duplication by laparoscope, thus avoiding bowel resection in children. Materials and Methods: A retrospective review was conducted of medical records of 15 patients with diagnosis of IC duplication, treated in the Department of Paediatric Surgery of our hospital, within the period from November 2013 to September 2018. Results: Laparoscopic resection of IC duplication was successfully performed in all children without bowel resection. The operation time was 50-90 min (55 ΁ 10 min), and the post-operative hospitalization time was 5-7 days (average, 6 days). The 15 patients were followed up for 6-12 months (average, 10 months). No recurrence was found by abdominal ultrasound examination. The wound had small scars with good appearance of umbilicus. Conclusions: The laparoscopic approach allows for confirming the diagnosis and accurately defining the exact site of duplication, as well as for effective and safe treatment. Laparoscopic excision of IC duplication without bowel resection is a safe option and is worth promoting.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2020;volume=16;issue=4;spage=372;epage=375;aulast=bowl resectionchildenteric duplicationlaparoscopy
spellingShingle Jianlei Chen
Jian Wang
Zhicheng Gu
Shungen Huang
Jie Zhu
Bin Wu
Zhenwei Zhu
Peng Cai
Chao Sun
Laparoscopic resection of ileocaecal duplication in children (report of 15 cases)
Journal of Minimal Access Surgery
bowl resection
child
enteric duplication
laparoscopy
title Laparoscopic resection of ileocaecal duplication in children (report of 15 cases)
title_full Laparoscopic resection of ileocaecal duplication in children (report of 15 cases)
title_fullStr Laparoscopic resection of ileocaecal duplication in children (report of 15 cases)
title_full_unstemmed Laparoscopic resection of ileocaecal duplication in children (report of 15 cases)
title_short Laparoscopic resection of ileocaecal duplication in children (report of 15 cases)
title_sort laparoscopic resection of ileocaecal duplication in children report of 15 cases
topic bowl resection
child
enteric duplication
laparoscopy
url http://www.journalofmas.com/article.asp?issn=0972-9941;year=2020;volume=16;issue=4;spage=372;epage=375;aulast=
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