title: Combined thoraco-laparoscopy for trans-diaphragmatic thoraco-abdominal enteric duplications.
abstract: During the last years, several thoracic and abdominal enteric duplications were resected in our institution by means of minimally invasive approaches [Rev Cir Infantil 1999;9(2):113-115]. Our last patient, however, had a giant thoraco-abdominal duodenal duplication, extending from the upper thoracic cavity to the pelvis, in a dumbbell fashion. Forty days after birth, a combined "thoraco-laparoscopy" was performed, achieving a complete resection of the cyst. The diaphragmatic defect was repaired as well. Recovery was uneventful. Based on this successful experience, we think that the thoraco-laparoscopic approach is suitable and reproducible for patients with these infrequent malformations, and even for patients with other kinds of thoraco-abdominal lesions. The purpose of this report was to describe the minimally invasive strategy used to approach the thorax and the abdomen in a single-stage procedure.
authors.affiliation: Division of Pediatric Surgery, National Pediatric Hospital JP Garrahan, Buenos Aires CP 1636, Argentina. martinezferro@fibertel.com.ar
authors.forename: Marcelo
authors.initials: M
authors.lastname: Martinez-Ferro
authors.forename: Pablo
authors.initials: P
authors.lastname: Laje
authors.forename: Lisandro
authors.initials: L
authors.lastname: Piaggio
mesh_terms: D000005:Abdomen / Q000002:abnormalities / Q000601:surgery; D004386:Duodenum / Q000002:abnormalities* / Q000601:surgery*; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D010535:Laparoscopy / Q000379:methods*; D011296:Prenatal Diagnosis; D013906:Thoracoscopy / Q000379:methods*; D013909:Thorax / Q000002:abnormalities; D016896:Treatment Outcome; D014427:Twins