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Your search keyword '"Tanaka, Keiichiro"' showing total 3 results
Start Over Author "Tanaka, Keiichiro" Topic laparoscopic surgery
3 results on '"Tanaka, Keiichiro"'

2. Combined laparoscopic and thoracoscopic approaches for Bochdalek hernia with hernia sac in an 8‐years‐old boy: Case report.

Author

Tanaka, Keiichiro, Mikami, Takafumi, Kato, Haruki, and Okazaki, Tadaharu

Subjects
*HERNIA, *LAPAROSCOPIC surgery, *CHEST (Anatomy), *ABDOMEN, *THORACOSCOPY, *VENTRAL hernia, *INGUINAL hernia
Abstract

Bochdalek hernia (BH) is characterized by a defect of the posterolateral diaphragm and intrathoracic herniation of abdominal organs. The laparoscopic or thoracoscopic approach has recently become the surgical standard. However, studies on combined approaches are limited. An 8‐year‐old boy diagnosed with left BH was treated using a combined laparoscopic and thoracoscopic approach. On laparoscopy, BH with hernia sac was identified. Spleen, pancreas tail, kidney, and transverse colon had herniated into the left thoracic cavity. After the adhesion between transverse colon and hernia sac was dissected, all abdominal organs were restored to the abdominal cavity. On thoracoscopy, an 8 × 8 cm hernia orifice defect was identified and closed by suture. The postoperative course was uneventful, with no recurrence. A combined laparoscopic and thoracoscopic approach is safe and effective with a good field of view for left BH with hernia sac in children. To the best of our knowledge, this is the first case with left BH reporting the use of both approaches in a child without conversion. [ABSTRACT FROM AUTHOR]

Published
2022
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3. Surgical management of urachal remnants in children: open versus laparoscopic approach

Author

Tanaka, Keiichiro, Misawa, Takeyuki, Baba, Yuji, Ohashi, Shinsuke, Suwa, Katsuhito, Ashizuka, Shuichi, Yoshizawa, Jyoji, and Ohki, Takao

Subjects
Male, Adolescent, Operative Time, Observational Study, Infant, urachal remnants, Length of Stay, laparoscopic surgery, Urachus, Treatment Outcome, Allantois, Child, Preschool, pediatric surgery, Humans, Female, Laparoscopy, Child, Research Article, Retrospective Studies
Abstract

Urachal remnants (UR) represent a failure in the obliteration of the allantois, which connects the bladder to the umbilicus, at birth. Surgical management of UR in children is controversial. The traditional surgical approach involves a semicircular intraumbilical incision or a lower midline laparotomy. Recently, many reports have supported the laparoscopic approach (LA) for removing UR. However, there is a paucity of data comparing the benefits of LA those of the open approach (OA). We retrospectively reviewed all children (aged ≤16 years) with UR who underwent surgical procedures. Age at surgery, sex, operative time, intraoperative or postoperative complications, total wound length, and length of hospital stay length after operation were analyzed. Overall, 30 children aged between 9 months and 16 years (mean 9.0 years) underwent surgical procedures: 15 were treated by OA and 15 were treated by LA. The only statistically significant variable was the operative time. Furthermore, we reanalyzed the age distributions of the older children (aged ≥10 years). In this group, no significant difference in the operative time between OA and LA was observed; however, there was a statistically significant difference in the total wound length. Our review indicated that LA required longer operative time than OA without any cosmetic advantage. However, in older children (aged ≥10 years), the difference in the operative time was not significant; moreover, LA provided greater cosmetic advantage. LA is recommended for older children (aged ≥10 years) because of its cosmetic advantage.

Published
2019

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