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TL;DR
This paper describes a technique for using preoperative coil placement during angiography to help surgeons locate and laparoscopically remove gastrointestinal vascular malformations in children.
JPGN Reports · 7 authors, 5 centres
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This paper describes a technique for using preoperative coil placement during angiography to help surgeons locate and laparoscopically remove gastrointestinal vascular malformations in children.
This retrospective case series describes a technique for intentional preoperative coil localization of symptomatic gastrointestinal vascular malformations in children to assist laparoscopic resection. In all cases, histology confirmed the lesions were vascular malformations. The coil placement provided a precise intraoperative target, with the surgeon reporting it significantly reduced laparoscopic exploration time. One patient required a second resection after initial incomplete removal, highlighting the coil's accuracy compared to visual inspection. Limitations include the very small, retrospective case series and that surgical logistics prevented same-day resection for two patients, requiring a second anesthesia. The technique may be especially useful when lesions are not clearly visible on the bowel surface.