Single-Incision Laparoscopic Reduction of Intussusceptions: A Case Report of Three Children

  • Owari Mitsugu
    Department of Pediatric Surgery, Nara Hospital, Kinki University School of Medicine
  • Yonekura Takeo
    Department of Pediatric Surgery, Nara Hospital, Kinki University School of Medicine
  • Yamauchi Katsuji
    Department of Pediatric Surgery, Nara Hospital, Kinki University School of Medicine
  • Kamiyama Masafumi
    Department of Pediatric Surgery, Nara Hospital, Kinki University School of Medicine
  • Morishita Yuji
    Department of Pediatric Surgery, Nara Hospital, Kinki University School of Medicine
  • Kimura Koki
    Department of Pediatric Surgery, Nara Hospital, Kinki University School of Medicine

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Other Title
  • 単孔式腹腔鏡下整復術を施行した小児腸重積症の3例
  • 症例報告 単孔式腹腔鏡下整復術を施行した小児腸重積症の3例
  • ショウレイ ホウコク タンコウシキ フククウキョウ カ セイフクジュツ オ シコウ シタ ショウニ チョウジュウ セキショウ ノ 3レイ

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Abstract

We report three cases of children who underwent singleincision laparoscopic reduction of intussusceptions using E-Z access (Hakko Medical Co.). Case 1 was a 4-yearold boy with an ileocolic intussusception. Case 2 was an 11-year-old girl with recurrent ileocolic intussusception 10 hours after successful hydrostatic enema reduction. Case 3 was an 8-month-old girl with an ileo-ileocolic intussusception. A semicircular umbilical incision was applied with a Lap ProtectorTM (Hakko Medical Co.). The E-Z accessTM (Hakko Medical Co) inserted with 3 ports was equipped to the top ring of the Lap ProtectorTM. Intussusception could be reduced laparoscopically using two forceps followed by ileal-walking. All cases were free of postoperative complications, and were discharged 7 days after the operation. This single-incision laparoscopic method could therefore reduce intussusceptions without restriction of the wound or port sites. In addition, it is easy to convert laparoscopic surgery to laparoscope-assisted surgery, and vice versa. Note that laparoscopic surgery is also cosmetically superior other methods.

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