XXXX : Comparison Between Endoscopic and Open Operative Approaches.

@entity5 @entity1 @entity18871
BACKGROUND AND AIM: Juvenile @entity18871 (JNA) is a rare vascular and @entity5 that most commonly affects males in prepuberal and adolescent age. Traditionally, these @entity5 have been removed, after selective embolization, with the open surgical approach (degloving), but the interest in the endoscopic resection, especially for small @entity5 , has increased in recent years. To present our experience of JNA management, comparing the endoscopic approach and open/combined approach. MATERIALS AND METHODS: We conducted a retrospective, cross-sectional, and descriptive study of 12 young @entity1 , ages between 9 and 19 years (mean: 13), suffering from @entity18871 and treated with open surgery (N=6), with endoscopic excision (N=5) or with combined approach (N=1). We reviewed demographical data, clinical presentation, surgical approach as well as time of surgery, of hospitalization, need of blood transfusion during surgery, and complications occurred during hospitalization. RESULTS: All JNA @entity1 were male. The average age at diagnosis was 13.7 years (range 9-19 years). Approximately, 8.3% were classified as   nerci I, 41.7% as   nerci II, and 50.0% as   nerci III. Preoperative embolization was carried out in all @entity1 . All @entity1 were submitted to primary surgical resection, and 2 of them required intraoperative blood transfusion. The overall recurrence rate was 8.3% and the cure rate was 100%. CONCLUSION: This study confirmed that endoscopic approach gives excellent results in small and medium dimensions @entity5 , whereas open surgery remains a safe procedure for @entity1 with @entity5 .
