Abstract
Purpose
: In order to establish a minimally invasive and cosmetically satisfactory technique to perform laparoscopy-assisted surgery, we applied a single-puncture method to pediatric cases; i.e., ovarian cyst, vitelline duct remnant, and cerebral palsy with inappropriate oral intake.
Methods
: Ovarian cystectomy was performed through a semicircular umbilical incision employing a laparoscope with an operating channel for grasping forceps. For a vitelline duct remnant, definitive diagnosis and subsequent total resection of the remnant were performed through an umbilical arcuate incision. For inappropriate oral intake, through a tiny incision in the left hypochondrium, a laparoscope with grasping forceps was inserted to grasp the gastric or jejunal wall. After the gastric or jejunal wall was pulled out of the incision, gastrostomy and jejunostomy were performed in the same manner as with open surgery in six and one cases, respectively.
Results and Conclusions
: In all cases, the operations were performed safely with the single-puncture technique, which demonstrates the feasibility of a minimally invasive and cosmetically excellent technique for pediatric laparoscopic or laparoscopy-assisted surgery.
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