Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica · 2011
[Heterotaxy-polysplenia, approach to the esophageal hiatus for Nissen technique].
Клинический случайАннотация на английскомСтатьяНазвание и аннотация: Перевод пока не подготовлен
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López Díaz M, Cano Novillo I, Tejedor Sánchez R, Fuentes Carretero S, Gómez Fraile A
Аннотация
INTRODUCTION: Heterotaxy is a failure in embryonic development to achieve left-right symmetry.
OBJECTIVE: To report a case of heterotaxy and show a surgical approach for fundoplication.
MATERIAL AND METHODS: A girl with heterotaxy-polysplenia syndrome with gastroesophageal reflux and recurrent abdominal pain. It was decided to perform laparoscopic antireflux treatment with Nissen fundoplication with approach by the right side of the diaphragmatic hiatus and pillars.
CONCLUSIONS: Surgery is being discussed in these syndromes, indicating only in cases of recurrent abdominal pain, subocclusive lesions or when diagnosis of gastroesophageal reflux is done. The dilemma is between laparoscopic or classical laparotomy. The main difficulty of the laparoscopic approach is the enlarged liver and stomach placement right despite the esophageal hiatus is normally on the left side.
OBJECTIVE: To report a case of heterotaxy and show a surgical approach for fundoplication.
MATERIAL AND METHODS: A girl with heterotaxy-polysplenia syndrome with gastroesophageal reflux and recurrent abdominal pain. It was decided to perform laparoscopic antireflux treatment with Nissen fundoplication with approach by the right side of the diaphragmatic hiatus and pillars.
CONCLUSIONS: Surgery is being discussed in these syndromes, indicating only in cases of recurrent abdominal pain, subocclusive lesions or when diagnosis of gastroesophageal reflux is done. The dilemma is between laparoscopic or classical laparotomy. The main difficulty of the laparoscopic approach is the enlarged liver and stomach placement right despite the esophageal hiatus is normally on the left side.