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This is a retrospective study of pediatric patients with duplex system ureterocele. The age of patients at the time of surgery ranged from 5 days to 17 years median — 8.

Intravesical ureterocele had patients Complications occurred in 2 patients 1. Ipsilateral vesicoureteral reflux after surgery had patients In the long-term period after transurethral incision of ureteroceles 97 patients Statistically significant risk factors associated with the need for reoperation were the presence of vesicoureteral reflux on the ureteroceles side and non-functioning upper pole of the kidney.

Transurethral incision of ureteroceles for duplex system ureterocele is a safe and effective minimally invasive method of primary resolving of the obstruction.

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Even more rarely, duplication cysts are not anatomically connected to the stomach and are located in other parts of the abdominal cavity or in the retroperitoneal space.

Cystic duplication of the gastrointestinal tract, which are localized in the pancreas, is extremely rare. The aim of the study is to demonstrate the possibility of using laparoscopy for this disease.

The paper describes three rare clinical observations of gastric duplication cyst topographically associated with the pancreas. In the first clinical observation, gastric duplication cyst was combined with mediastinal duplication cysts, an esophageal bronchial fistula, and extralobar pulmonary sequestrations.

In the second observation, a duplication cyst had communication with the pancreatic duct system and was clinically manifested by recurrent bleeding.

In the third case, a duplication cyst is diagnosed behind the body and tail of the pancreas. In all cases, surgical treatment was carried out by the laparoscopic method, leading to complete recovery.

Histological examination in all the described observations confirmed the gastric type of epithelium of the mucous membrane of the cysts.

The article provides a review of the literature. Thus, the efficiency of laparoscopic interventions in children with gastric duplications topographically associated with the pancreas was demonstrated.

The described rare clinical manifestations, a combination of defects, as well as the possible presence of heterotopy of the mucous membrane of the duplication cyst confirm the need for surgical correction of the disease.

When revealing a sacrococcygeal tumor in pediatric patient especially — newborn , a germ-cell tumor GCT mostly — teratoma should be suspected.

Just observation in cases of such tumors of small size, which might look as an option, cannot be recommended. Aim of study: to reveal the peculiarities of diagnostics and treatment of small-sized sacrococcygeal GCT in newborns.

We analyzed the data of charts of patients with sacrococcygeal GCT from 2 clinics of St. Petersburg pediatric surgical hospital CCMCSCHMT and pediatric oncological department of St.

Petersburg Oncocenter for past 15 years — In both cases of small-sized GCT prenatal ultrasound was unable to reveal the tumor. Those patients appeared by surgeon occasionally being either not transferred to hospital from the delivery house after birth or coming because of some other reason.

During the same period — there were 5 girls treated in St. Petersburg Oncocenter, with sacrococcygeal GCT first diagnosed at older age 10 months — 2 years 9 months.

They all had less favorite course and prognosis histologic variants being yolk sac tumor or embryonic carcinoma; having remote metastases in 2 cases, with relapse in 1 case, and lethal outcomes in 2 cases.

Small-sized sacrococcygeal GCT in newborns can bear a significant risk of delayed diagnosis with possible further malignization and formation of metastases, so active revealing and active surgical treatment in such cases is needed.

On the basis of the accumulated clinical material to show the possibility of a ligature-free method of laparoscopic appendectomy in children.

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