Laparoscopic identification and removal of focal lesions in persistent hyperinsulinemic hypoglycemia of infancy

被引:13
作者
Bax, NMA
van der Zee, DC
de Vroede, M
Jansen, M
Nikkels, PGJ
机构
[1] Univ Utrecht, Med Ctr, Wilhelmina Childrens Hosp, Dept Pediat Surg KE04 140 5, NL-3508 AB Utrecht, Netherlands
[2] Univ Utrecht, Ctr Med, Wilhelmina Childrens Hosp, Dept Pediat Endocrinol, NL-3508 AB Utrecht, Netherlands
[3] Univ Utrecht, Ctr Med, Wilhelmina Childrens Hosp, Dept Pediat Pathol, Utrecht, Netherlands
来源
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES | 2003年 / 17卷 / 05期
关键词
persistent hyperinsulinemic hypoglycemia of infancy; PHHI; laparoscopy;
D O I
10.1007/s00464-002-4268-4
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: Persistent hyperinsulinemic hypoglycemia of infancy (PHHI) is a heterogeneous condition. A number of children have focal lesions, and removal of these lesions is curative. However, these lesions are difficult to detect, even during surgery. A laparoscopic approach is beneficial. Methods: Two children with PHHI underwent laparoscopic pancreatic inspection at 32 and 29 days of age, respectively. Results: In both children, a lesion was easily found in the head of the pancreas. The lesions looked more lobular, had a more pronounced blood supply, and appeared to have a firmer texture than the remaining pancreas. Enucleation was curative. Conclusion: A laparoscopic approach seems to be ideal for patients with PHHI not only because of the magnification but also because of the delicate surgery it allows and the avoidance of major abdominal wall problems.
引用
收藏
页码:833 / 833
页数:9
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