Case report: Joint diagnosis and treatment of intrathoracic gastric duplication with a gastric communication in a child by laparoscopy and gastroscopy

Zhao, Huashan; Zhai, Yunpeng; Guo, Rui; Xu, Hongyan; Lv, Lihua; Zhang, Shisong

doi:10.3389/fped.2023.1143741

Cited by 1 publication

(6 citation statements)

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“…With the promotion and maturity of endoscopic minimally invasive technology, many experts at home and abroad have reported the promotion of minimally invasive surgery, namely, laparoscopic resection of gastric duplication. 5 , 22 Krishna Kumar et al 23 reported on a 10-month-old female infant who was diagnosed with nonbiliary vomiting before surgery. Surgeons performed traditional open surgery to remove the 8*6 cm cyst located on the greater curvature of the stomach.…”

Section: Discussionmentioning

confidence: 99%

“…Before surgery, if it is difficult to remove the top of the cyst or peel off the cyst under gastroscopy or if there is perforation or vascular damage during the surgery, double endoscopy preparation can also be carried out through endoscopy in a timely manner to ensure surgical safety. 5 …”

Section: Discussionmentioning

confidence: 99%

“… 4 Most scholars advocate for early surgical treatment before serious complications occur. 5 , 6 The surgical methods include open surgery and laparoscopic surgery. However, due to the different growth sites of GDCs, it is sometimes difficult to achieve precise positioning with traditional open surgery and laparoscopic surgery, which may lead to excessive resection of gastric tissue and postoperative gastric abnormalities.…”

Section: Introductionmentioning

confidence: 99%

“…18 The treatment of gastric duplication can be classified by type as endoscopic treatment or surgical treatment. 5,19,20 Surgical treatment mainly includes traditional laparotomy and endoscopic surgery. 5,[20][21][22] Digestive endoscopic surgery mainly includes endoscopic fenestration of intragastric cysts and cyst dissection.…”

mentioning

confidence: 99%

“…5,19,20 Surgical treatment mainly includes traditional laparotomy and endoscopic surgery. 5,[20][21][22] Digestive endoscopic surgery mainly includes endoscopic fenestration of intragastric cysts and cyst dissection. The main types of laparotomy are repeated gastrectomy, partial gastrectomy or gastric mucosal exfoliation.…”

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confidence: 99%

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A Multi-Centric Comparative Study Between Endoscopy-Assisted Laparoscopic Surgery (EALS) vs Laparoscopic Surgery for the Treatment of Gastric Duplication Cysts in Children

Luo,

Liu,

Jiang

et al. 2023

TCRM

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Purpose To compare and analyze the therapeutic effects of endoscopy-assisted laparoscopic surgery (EALS) and laparoscopic surgery (LS) in the treatment of gastric duplication cysts (GDCs). Patients and Methods We reviewed the clinical data of children with GDCs who underwent surgical treatment at Hubei Maternal and Child Health Hospital, Yijishan Hospital of Wannan Medical College, and Qingdao Women and Children’s Medical Center from September 2014 to November 2022. Results The study comprised 29 children with GDCs, including 14 in the EALS group and 15 in the LS group. There was no significant difference between the two groups in terms of age, sex, weight, and cyst size characteristics. There was a significant difference between the two groups in terms of average surgical time (P>0.05), which was 1.100 ± 0.833 hours in the EALS group and 1.933 ± 0.159 hours in the LS group. There was a significant difference between the two groups (P<0.05) in average intraoperative blood loss, which was 7.93 ± 3.81 milliliters in the EALS group and 11.80 ± 2.72 milliliters in the LS group. There was a significant difference between the two groups (P<0.05) in average postoperative fasting time, which was 73.79 ± 8.36 hours in the EALS group and 114.1 ± 9.24 hours in the LS group. There was a significant difference between the two groups (P<0.05) in average postoperative hospital stay, which was 10.21 ± 4.25 days in the EALS group and 14.47 ± 4.36 days in the LS group. Conclusion EALS technology can not only shorten surgical time, accurately locate GDCs, reduce injuries, and decrease the probability of complications but also achieve treatment goals safely and reliably.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%