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One-Stage Laparoscopic Surgery for Pulmonary Sequestration and Hiatal Hernia in a 2-Year-Old Girl

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Title: One-Stage Laparoscopic Surgery for Pulmonary Sequestration and Hiatal Hernia in a 2-Year-Old Girl
Authors: Miyagi, Hisayuki Browse this author
Honda, Shohei Browse this author →KAKEN DB
Hamada, Hiromi Browse this author
Minato, Masashi Browse this author
Ara, Momoko W. Browse this author
Taketomi, Akinobu Browse this author →KAKEN DB
Keywords: pulmonary sequestration
hiatal hernia
gastroesophageal reflux
Issue Date: Jan-2018
Publisher: Georg Thieme Verlag
Journal Title: European journal of pediatric surgery reports
Volume: 6
Issue: 1
Start Page: e11
End Page: e14
Publisher DOI: 10.1055/s-0037-1612611
Abstract: We herein report a case of one-stage laparoscopic surgery for extralobar pulmonary sequestration (EPS) and hiatal hernia. Our patient was a 2-year-old girl who was diagnosed as a mediastinal mass lesion. Postnatal computed tomography revealed that the mediastinal mass was an EPS. Two weeks after birth, the patient developed gastroesophageal reflux (GER), and esophagography showed a hiatal hernia. At 2 years of age, she underwent one-stage laparoscopic Nissen's fundoplication for GER with resection of the EPS in the posterior mediastinum. The sequestrated lung was grasped via the esophageal hiatus; three aberrant blood vessels were dissected to allow removal of the sequestration through the umbilical port site. The esophageal hiatus was repaired and Nissen's fundoplication was performed laparoscopically. The patient's postoperative course was uneventful, with no recurrence of GER symptoms for 1 year. We conclude that one-stage laparoscopic surgery is useful for patients with EPS and hiatal hernia.
Type: article
Appears in Collections:北海道大学病院 (Hokkaido University Hospital) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

Submitter: 本多 昌平

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