title: Laparoscopic clipping of the median sacral artery in huge sacrococcygeal teratomas.
abstract: Huge sacrococcygeal teratomas in the newborn can cause significant morbidity and even death due to cardiac failure, hemorrhage, or both. Surgical removal is the treatment of choice, but can indicate these events. Ligation of the median sacral artery, which always supplies the tumor, prior to its removal has been advocated, but in the past this procedure required a formal laparotomy. Nowadays, it can be easily accomplished laparoscopically, as this case report demonstrates.
authors.affiliation: Department of Pediatric Surgery, University Children's Hospital "Wilhelmina," P.O. Box 18009, 3501 CA Utrecht, The Netherlands.
authors.forename: N M
authors.initials: NM
authors.lastname: Bax
authors.forename: D C
authors.initials: DC
authors.lastname: van der Zee
mesh_terms: D016063:Blood Loss, Surgical / Q000517:prevention & control; D003050:Coccyx; D005260:Female; D005500:Follow-Up Studies; D006488:Hemostasis, Surgical / Q000295:instrumentation / Q000379:methods; D006801:Humans; D007083:Iliac Artery / Q000601:surgery; D007231:Infant, Newborn; D020706:Laparoscopes; D010535:Laparoscopy / Q000379:methods; D011028:Pneumoperitoneum, Artificial; D012445:Sacrococcygeal Region / Q000098:blood supply; D012447:Sacrum; D013125:Spinal Neoplasms / Q000098:blood supply / Q000601:surgery*; D013525:Surgical Instruments; D013724:Teratoma / Q000098:blood supply / Q000601:surgery*