2005, Number 2
They owe the medical residentes to carry out laparoscopic funduplications?
Padilla-Cuevas R, Romero-Montes VE, González-Romero G, Olvera-Duran JA, Nava-Carrillo AD
Language: Spanish
References: 9
Page: 86-89
PDF size: 134.67 Kb.
ABSTRACT
Introduction:The laparoscopic surgery currently is the method of election in the processing for the reflux gastroesofágico in the patient one pediatric. Due to that in our service of pediatric surgery count on training in surgery of most minimally invasive, we wanted to know if increases the morbidity, motive of execution of the present job.Material and methods: We admitted 58 patients in 20 months to whom was carried out laparoscopic funduplications, They were excluded 35 funduplications open carried out in the same one period. Funduplications of 360º in seven and of 270º in 50 patient, a previous incomplete funduplication.
Results: 58 funduplications in patients from eighth months to 17 years.Male 36 and 22 female. Diagnosis of GER in 57 patients and in a patient hiatal hernia. by medical senior 24 and 35 by resident. Pneumoperitoneo of 10 mm of hg. Operative time since 220 minutes until 60 minutes.The whole was of complications of 8.6%. The bigger of the complications itself was to make in the first four months of study in four patients (5.2%). Posoperative symptoms: Feverish peak posoperative in five patients.Pain in right shoulder in two patients in the postoperative.
Conclusions: It is feasible that difficulties they be presented and complications in the beginning of the training of the surgeon in minimally invasive surgery. The complications that themselves was to make in our study are similar to the of other revisions.
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