[Laparoscopic decompression of celiac trunk in children]

Area of Science:

• Vascular Surgery
• Pediatric Surgery
• Gastroenterology

Background:

• Compressive stenosis of the celiac trunk is a rare condition, particularly in children.
• Diagnosis can be challenging due to the rarity and varied presentation of symptoms.

Purpose of the Study:

• To evaluate the effectiveness of laparoscopic decompression for celiac trunk compression in pediatric patients.
• To highlight diagnostic and treatment challenges associated with this condition in childhood.

Main Methods:

• Retrospective analysis of four pediatric patients (ages 14-17) diagnosed with celiac trunk compression.
• Diagnostic tools included pulse-wave Doppler sonography, contrast-enhanced MDCT, and angiography.
• Surgical intervention involved laparoscopic decompression of the celiac trunk.

Main Results:

• All three patients who underwent laparoscopic decompression were discharged without complications or conversion.
• The average surgical time was 65 minutes, with an average postoperative hospital stay of 4 days.
• Long-term follow-up in two patients showed reduced severity, incidence, and duration of pain syndrome.

Conclusions:

• Laparoscopic decompression is a safe and effective treatment for celiac trunk compression in pediatric patients.
• Despite diagnostic challenges, instrumental confirmation of abdominal ischemia and celiac trunk stenosis warrants surgical intervention.