@entity3166 : early conventional and XXXX laparoscopic assessment.

@entity1 @entity3166 @entity63 @entity39 @entity941
AIM: The clinical and radiological diagnosis of @entity3166 ( @entity3166 ) can be difficult. When radiological evidence is present, severity and complications, such as perforation and full-thickness @entity39 , often may not be obvious. This study aims to establish early signs of full-thickness @entity39 or perforation by using standard and @entity941 laparoscopy before clinical deterioration of @entity1 occurs. @entity1 AND METHODS: Thirteen @entity1 with preoperative presumed clinical and/or radiological diagnosis of @entity3166 underwent laparoscopy. A 4.7-mm umbilical or left upper quadrant camera port was inserted by using the open method. The abdominal cavity was inspected for @entity63 , fibrin, adhesion formation, and presence of free intestinal contents. If necessary, one or two 3-mm working ports were inserted for manipulation of bowel. RESULTS: Median age of 13 @entity1 was 17 (3-38) days. Their median weight was 1160 (910-2415) g. The first 5 @entity1 had standard laparoscopy only, with the next 8 having @entity941 -aided assessment added to the laparoscopy. Standard laparoscopy identified perforation in 5 @entity1 and gangrenous bowel in 2. One @entity1 was found to have chyle ascites, and 1 @entity1 had no abnormal findings on laparoscopy. @entity941 identified gangrenous bowel in 3 additional @entity1 . Laparotomy and necessary surgical intervention were performed in all 10 @entity1 with positive laparoscopy findings. Eleven @entity1 survived and were doing well at a median of 9 (range, 6-39) months of follow-up. CONCLUSION: Laparoscopy helps to improve assessment of @entity1 with a diagnosis of @entity3166 . It allows for early identification of perforation and @entity39 . Where @entity63 is suspected, @entity941 laparoscopy may have an added benefit in identifying @entity39 segments.
