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Transumbilical single-incision laparoscopic ileocecal resection for Crohn's disease in a child
Mikihiro Inoue1, Keiichi Uchida, Kohei Otake
1Department of Gastrointestinal and Pediatric Surgery, Mie University Graduate School of Medicine, Tsu, Japan. mikihiro@clin.medic.mie-u.ac.jp
Insights
This study presents a pediatric case of ileal Crohn's disease treated with single-incision laparoscopic surgery. This minimally invasive approach proved effective for uncomplicated cases in children.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Minimally Invasive Surgery
Background:
- Crohn's disease can affect children, leading to complications like intestinal obstruction and growth disturbance.
- Surgical intervention may be necessary for pediatric Crohn's disease, particularly in cases of severe strictures.
Observation:
- A 14-year-old boy with severe growth disturbance presented with intestinal obstruction due to ileal Crohn's disease.
- Diagnostic enteroscopy revealed a significant cobblestone appearance and a 15 cm stricture proximal to the ileocecal valve, without fistula or abscess.
Findings:
- The patient successfully underwent transumbilical single-incision laparoscopic ileocecal resection.
- The surgical procedure was performed using conventional laparoscopic instruments through a single umbilical incision.
Implications:
- Single-incision laparoscopic surgery is a viable and effective option for pediatric patients with uncomplicated ileal Crohn's disease.
- This minimally invasive technique offers a promising approach for managing pediatric Crohn's disease, potentially leading to improved cosmetic outcomes and faster recovery.
Abstract:
We report the pediatric case of ileal Crohn's disease in which the patient underwent transumbilical single-incision laparoscopic ileocecal resection. A 14-year-old boy with severe growth disturbance presented with intestinal obstruction. Transanal double-balloon enteroscopy and contrast study during endoscopy revealed a cobble stone appearance and a severe stricture 15 cm in length located slightly proximal to the ileocecal valve. There was no evidence of fistula or abscess formation. Ileocecal resection was performed via an umbilical incision with conventional laparoscopic instruments, and the postoperative course was uneventful. Single-incision laparoscopic ileocecal resection is a good procedure for uncomplicated Crohn's disease patients in childhood.
