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Liver biopsies in children – indications, techniques, results and complications. A single-centre study

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Sosnowska-Sienkiewicz P., Miedziarek C., Danielewicz D., Mańkowski P.

Polish Journal of Surgery

2022

vol. 95

issue 4

29-33

Introduction: Liver biopsy is a safe and helpful diagnostic tool for many liver disorders. It can be performed using various techniques. Regardless of the technique, the liver biopsy is considered to be a safe procedure. Aim: We aimed to analyze the indications, techniques, results, and complications of liver biopsies in the paediatric age group. Materials and methods: We retrospectively obtained the data from the medical history records of 63 paediatric patients who underwent liver biopsy. The data were analyzed statistically. Results: The most often performed type of biopsy was core needle biopsy (tru-cut), followed by core needle aspiration biopsy, fine-needle aspiration biopsy, open biopsy, and laparoscopic biopsy. Complications in the form of hematoma occurred only in 2 cases. The most common indications for the procedure were viral hepatitis monitoring/diagnosis, focal lesions, and autoimmune hepatitis. The histopathological results were predominantly hepatitis (viral and non-viral) and neoplasm. Conclusions: Liver biopsy is a safe procedure regardless of the technique used to obtain a tissue sample. Therefore, it should not be avoided when it is indicated.

Removal of the central venous port system in children. Is this an appropriate training procedure for resident physicians? A single-center retrospective study

88%

Sosnowska-Sienkiewicz P., Ciechanowicz J., Miedziarek C., Bućko E., Mańkowski P.

Polish Journal of Surgery

2024

vol. 96

issue 4

25-28

Introduction: A venous port system consists of a port chamber attached to a central catheter, which is implanted into the central venous system. The removal of the vascular port includes all items of this system. This procedure is usually simple and quick. Complications with port removal are rare but possible. Aim: The study aimed to summarize venous port removal procedures performed by pediatric surgeons. Material and methods: The single-center, retrospective study was conducted on 360 pediatric patients treated during the years 2010–2022 in the Department of Pediatric Surgery, Traumatology, and Urology in Poznan. Results: The port usage time before the removal ranged from 3 days to 8 years and 3 months, with an average of 22 months. The leading cause of vascular port removal was the end of treatment (78.06%). Other less frequent reasons were the infection (13.89%) and mechanical damage of the port (3.33%). There were almost no complications connected with the procedure of vascular port removal (92.2%). If the complications occurred, they included bleeding during surgery (3%), covering the vascular catheter with bone tissue of the clavicle, causing difficulties with the catheter removal from the vein (1.4%), and connected with the previous complications-prolonged clavicle pain after surgery (1.4%) and hematoma after surgery (2%). Conclusions: Removing the venous port is a safe procedure with a low risk of complications. This procedure can be considered as an appropriate training procedure for young trainees. A more extended period of use of the vascular port before its removal may be associated with more difficulties during surgery.

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2 Polish Journal of Surgery

1 2024

1 2022

2 Mańkowski P.

2 Miedziarek C.

2 Sosnowska-Sienkiewicz P.

1 Bućko E.

1 Ciechanowicz J.

1 Danielewicz D.

Search results

Liver biopsies in children – indications, techniques, results and complications. A single-centre study

Removal of the central venous port system in children. Is this an appropriate training procedure for resident physicians? A single-center retrospective study