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Titolo:
Operative management for sacrococcygeal teratoma diagnosed in utero
Autore:
Kamata, S; Imura, K; Kubota, A; Sawai, T; Nose, K; Hasegawa, T; Kusafuka, T; Ohue, T; Yagi, M; Okada, A;
Indirizzi:
Osaka Univ, Sch Med, Dept Pediat Surg, Suita, Osaka 5650871, Japan Osaka Univ Suita Osaka Japan 5650871 at Surg, Suita, Osaka 5650871, Japan Osaka Med Ctr Child & Maternal Hlth, Dept Pediat Surg, Osaka, Japan Osaka Med Ctr Child & Maternal Hlth Osaka Japan diat Surg, Osaka, Japan
Titolo Testata:
JOURNAL OF PEDIATRIC SURGERY
fascicolo: 4, volume: 36, anno: 2001,
pagine: 545 - 548
SICI:
0022-3468(200104)36:4<545:OMFSTD>2.0.ZU;2-#
Fonte:
ISI
Lingua:
ENG
Soggetto:
OUTPUT CARDIAC-FAILURE; HYDROPS; EXPERIENCE; FETUSES; GIANT; DEATH;
Keywords:
sacrococcygeal teratoma; prenatal diagnosis; surgery;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
15
Recensione:
Indirizzi per estratti:
Indirizzo: Kamata, S Osaka Univ, Sch Med, Dept Pediat Surg, 2-2 Yamadaoka, Suita, Osaka 5650871, Japan Osaka Univ 2-2 Yamadaoka Suita Osaka Japan 5650871 650871, Japan
Citazione:
S. Kamata et al., "Operative management for sacrococcygeal teratoma diagnosed in utero", J PED SURG, 36(4), 2001, pp. 545-548

Abstract

Background/Purpose: Sacrococcygeal teratomas (SCT) diagnosed in utero havebeen reported to be large and associated with high perinatal mortality rate. However, operative management including timing of operation after birth,combined abdominal approach for devascularization, and the position of thepatients during resection is not well established. Methods: A retrospective review of 14 patients with SCT between 1978 and 1999 was performed. To prevent massive bleeding during surgery, the authors used an abdominoperineal resection in the supine position after devascularization. The patients' clinical and sonographic characteristics, prenatal outcome, operative management, and postnatal outcomes were examined. Results: One fetus died in utero. Two patients died within a week, but no late death and no malignant degeneration were noted. A staged operation with devascularization was performed in 2 patients, and 1 death occurred. Surgical management was analyzed between survivors without massive bleeding at surgery (n = 9) and others (n = 4). A significant difference was observed in the subgroup of tumor resection with devascularization or supine positionand that of early resection with devascularization or supine position. Conclusions: Early resection using the abdominoperineal approach supportedby close antenatal sonography may be preferable for a favorable outcome. Resection in the supine position after devascularization may have advantagesof respiratory management, cardiac resuscitation, and bleeding prevention.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/09/20 alle ore 23:48:17