{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T12:12:32Z","timestamp":1778069552515,"version":"3.51.4"},"reference-count":13,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T00:00:00Z","timestamp":1773100800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2026,5,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>In the scientific nomenclature, \u201cincidentaloma\u201d is the medical term to describe incidentally found asymptomatic tumors. We adapted the term \u201cincidentaloma\u201d to describe the finding of additional pathology during laparoscopic surgery conducted for a different indication. This study aimed to highlight the role of laparoscopy in identifying and addressing hidden concurrent conditions, thereby preventing the need for further surgical interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Five hundred ninety-five patients undergoing laparoscopic procedures from January 2018 to January 2023 were enrolled. Patients were divided in 4 groups according to the primary pathology or anatomical district: G1 included 331 children undergoing unilateral inguinal hernia laparoscopic repair, G2 included 115 children receiving laparoscopic varicocelectomy, G3 included 40 children undergoing laparoscopic exploration for non-palpable testis, G4 included 109 children undergoing laparoscopic abdominal procedures (53 appendectomies, 10 ovarian cystectomies, 14 renal surgeries, 28 cholecystectomies, 4 esophageal surgeries).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 170 incidentalomas were found intraoperatively (28.6%). In G1, 126\/331 (38.1%) had contralateral patent peritoneal-vaginal duct (PPVD), and 2\/331 (0.6%) had ovarian cyst (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1) and paratubaric cyst (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1). In G2, incidentaloma was found in 2\/115 (1.7%), including PPVD (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1) and omphalomesenteric duct remnant (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1). In G3, PPVD was discovered in 11\/40 (27.5%). In G4, 19\/109 (17.4%) concomitant adnexal pathologies, 4\/109 (3.7%) PPVD, 2\/109 (1.8%) pelvic masses, 2\/109 (1.8%) subhepatic appendices, 1\/109 (0.9%) Meckel\u2019s diverticulum, 1\/109 (0.9%) urachal sinus were discovered intraoperatively. The incidentalomas were treated during the same surgeries in 168\/170 cases (98.8%). The postoperative course was uneventful in all patients, and no postoperative complications were observed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Laparoscopy may be helpful to detect intraoperatively concomitant asymptomatic and unknown pathologies. Our results demonstrated that the incidence of incidentalomas was not negligible (28.6%) in the pediatric population. Laparoscopy allows their early treatment in most cases, thereby preventing the need for reintervention or emergency operation in case of acute onset.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10926429261427692","type":"journal-article","created":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T16:03:12Z","timestamp":1773244992000},"page":"406-410","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["\u201cIncidentaloma\u201d as Occasional Finding During Laparoscopic Surgery: How Laparoscopy Makes The Difference!"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-3760-1714","authenticated-orcid":false,"given":"Claudia","family":"Di Mento","sequence":"first","affiliation":[{"name":"Division of Pediatric Surgery, Federico II University Hospital, Naples, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Escolino","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, Federico II University Hospital, Naples, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giovanni","family":"Esposito","sequence":"additional","affiliation":[{"name":"CEINGE Advanced Biotechnology, Naples, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annalisa","family":"Chiodi","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, Federico II University Hospital, Naples, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ciro","family":"Esposito","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, Federico II University Hospital, Naples, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,3,10]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0041-1739418"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2021.04.004"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.soc.2020.11.008"},{"issue":"5","key":"e_1_3_3_5_1","first-page":"866","article-title":"Management of the adrenal \u201cincidentaloma","volume":"92","author":"Geelhoed GW","year":"1982","unstructured":"4.Geelhoed GW, , Druy EM. Management of the adrenal \u201cincidentaloma. Surgery 1982;92(5):866\u2013874.","journal-title":"Surgery"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2021.0690"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/pan.14726"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.1055\/a-1958-7830"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-016-5139-8"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40792-024-01821-0"},{"key":"e_1_3_3_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2023.108777"},{"issue":"9","key":"e_1_3_3_12_1","first-page":"e29371","article-title":"Laparoscopic excision of an infected urachal sinus in a teenager: A rare case report with histological highlights","volume":"14","author":"James J","year":"2022","unstructured":"11.James J, , Rao N, , Rana F. Laparoscopic excision of an infected urachal sinus in a teenager: A rare case report with histological highlights. Cureus 2022;14(9):e29371.","journal-title":"Cureus"},{"key":"e_1_3_3_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2020.08.061"},{"key":"e_1_3_3_14_1","first-page":"4365217","article-title":"Serous cystadenocarcinoma arising in presumed vitelline duct remnant: A case report and implications in the management of cancer of unknown primary","volume":"2016","author":"Lei L","year":"2016","unstructured":"13.Lei L, , Deisch JK. Serous cystadenocarcinoma arising in presumed vitelline duct remnant: A case report and implications in the management of cancer of unknown primary. Case Rep Pathol 2016;2016:4365217.","journal-title":"Case Rep Pathol"}],"container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10926429261427692","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10926429261427692","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10926429261427692","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T11:19:02Z","timestamp":1778066342000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10926429261427692"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,10]]},"references-count":13,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5,1]]}},"alternative-id":["10.1177\/10926429261427692"],"URL":"https:\/\/doi.org\/10.1177\/10926429261427692","relation":{},"ISSN":["1092-6429","1557-9034"],"issn-type":[{"value":"1092-6429","type":"print"},{"value":"1557-9034","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,10]]}}}