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Laparoscopic ligation of the median sacral artery before resection of a sacrococcygeal teratoma.

Abstract：

:To minimize the risk of exsanguinating hemorrhage, the authors describe a technique of laparoscopic ligation of the median sacral artery before posterior sagittal resection of type I sacrococcygeal teratoma (SCT). Two female infants with antenatally diagnosed SCT underwent postnatal evaluation and preoperative imaging and were taken to the operating room. In both patients, pneumoperitoneum was established via an epigastic 5-mm trocar. Two additional trocars were inserted in the right and left lower quadrants. The peritoneal reflection was opened to the right of the sigmoid colon, and the presacral space was explored. A large median sacral artery was identified easily, isolated, and divided. The children then were placed in a prone position, and the tumors underwent en bloc resection via a Chevron incision with minimal blood loss. The laparoscopic portion of the procedure was performed in an average of 15 minutes. This is the first report of laparoscopic ligation of the median sacral artery before posterior resection of a sacrococcygeal tumor in an infant. This technique can be performed easily with minimal morbidity. Division of this artery is a logical preventative measure and may reduce the risk of hemorrhage during operative resection.

journal_name

J Pediatr Surg

journal_title

Journal of pediatric surgery

authors

Lukish JR,Powell DM

doi

10.1016/j.jpedsurg.2004.04.042

subject

Has Abstract

pub_date

2004-08-01 00:00:00

pages

1288-90

issue

8

eissn

0022-3468

issn

1531-5037

pii

S0022346804002933

journal_volume

39

pub_type

杂志文章

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