Laparoscopy in pediatric surgery: Implementation in Canada and supporting evidence

Sattarova, Victoria; Eaton, Simon; Hall, Nigel; Lapidus-Krol, Eveline; Zani, Augusto; Pierro, Agostino

doi:10.1016/j.jpedsurg.2016.02.030

Cited by 15 publications

(9 citation statements)

References 36 publications

(37 reference statements)

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“…Depending on technology of the applied expeditious treatment of cholecystitis patients were divided into two equal clinical groups on number, on 50 people in everyone. At patients of the I clinical group expeditious treatment was carried out by means of laparoscopic technologies through four port, and in II -through uniform access by means of use of a system of access of X-CONE, Karl Storz [2,8].…”

Section: Methodsmentioning

confidence: 99%

“…In case of inefficiency of medicamentous therapy and in the presence of organic concrements it is expressed reducing «quality of life» of the child expeditious treatment is applied [9]. Today the cholecystectomy at children is carried out mainly with use of laparoscopic technologies [6,10] as their use minimizes decrease «quality of life» of the child and reduces time on necessary by its rehabilitation in the postoperative period in comparison with a classical technique of operation [1,3] To expeditious treatment of children with GD it is applied laparoscopic technologies by means of four port and uniform access [2,8]. In connection with a small amount of clinical observations of performance of a cholecystectomy through uniform access what question from types of laparoscopic technologies of expeditious treatment of children with GD is the least reducing «quality of life» of patients remains open for specialists for today.…”

Section: Relevancementioning

confidence: 99%

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Qualities of life of children with gallstone disease transferred a cholecystectomy in the early postoperative period living on subarctic region conditions

Akselrov

Malchevsky

Kokotalkin

et al. 2019

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Research objective-to estimate in comparison in the early postoperative period quality of life of children with gallstone disease transferred the cholecystectomy executed with use of laparoscopic technologies of four port and uniform access in the early postoperative period. Materials and methods. 50 patients undergoing cholecystectomy through the use of laparoscopic technologies through four port and 50 patients in whom surgery was performed through a uniform access were examined. Results and conclusions. The choice of laparoscopic technology of uniform access provides earlier decrease in expressiveness of a postoperative pain syndrome and restoration of a physical state, and also emotional background of the patient in the early postoperative period in comparison with a technique four port access. The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee (LEC) of all participating institution. The informed consent of the patient was obtained for conducting the studies. No conflict of interest was declared by the authors.

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Section: Methodsmentioning

confidence: 99%

Section: Relevancementioning

confidence: 99%

Qualities of life of children with gallstone disease transferred a cholecystectomy in the early postoperative period living on subarctic region conditions

Akselrov

Malchevsky

Kokotalkin

et al. 2019

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“…It also highlights the absence of significant differences between the two techniques. Among the disadvantages, the longer duration and the high cost stand out 6 . Another study points to even higher risk of intraabdominal abscess in laparoscopy 3 .…”

Section: Introductionmentioning

confidence: 99%

“…A study conducted in Sweden denies statistically significant differences between the two techniques regarding surgical wound infection, abscess formation, reoperation and readmission 2 . When choosing the method, the patient's characteristics and the surgeon's experience should be considered 6 .…”

Section: Introductionmentioning

confidence: 99%

Apendicectomia aberta versus videolaparoscópica em crianças: estudo prospectivo em hospital público terciário

Almeida

Romaniello

et al. 2021

Rev. Med. (São Paulo)

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Introdução: Apendicectomia é um dos procedimentos cirúrgicos mais realizados em crianças e é a terapia de escolha no tratamento da apendicite aguda. Há evidências na literatura que favorecem a realização da cirurgia pela via laparoscópica em detrimento da via aberta na população pediátrica. Objetivo: comparar a apendicectomia aberta e laparoscópica no tratamento da apendicite aguda em crianças em um hospital terciário público do Brasil. Métodos: estudo observacional prospectivo comparando apendicectomias abertas e videolaparoscópicas realizadas em pacientes pediátricos com apendicite aguda atendidos entre março/2017 e março/2018. Foram analisados aspectos epidemiológicos; pré-operatórios (clínica, exames laboratoriais e de imagem, tempo entre admissão e procedimento); intra-operatórios (tempo de procedimento, técnica); pós-operatório (tempo de internação; complicações). Resultados: amostra de 63 pacientes, com média de idade de 8 anos. 80,9% apresentavam vômitos, sinal de Bloomberg em 63,5% e dor abdominal difusa em 71,4%. Realizado hemograma em 43 pacientes, com 72% de leucocitose e 51,2%, bastonetose; radiografia abdominal em 12 e ultrassonografia em 47,6%. 31,7% realizaram apendicectomia laparoscópica, enquanto 68,3%, apendicectomia aberta. Não houve diferença entre os grupos quanto as condições da cavidade e características do apêndice. O grupo da cirurgia aberta teve 52,3% de apendicectomias complicadas, complicação pós-operatória em 2,3% e tempo de internação médio de 3 dias, já no da laparoscópia, 60% foram complicadas, 10% com complicação pós-operatória e 2,9 dias de tempo de internação médio. Conclusão: o presente estudo permite afirmar, com limitações estatísticas, que não há diferença entre apendicectomia aberta e videolaparoscópica quanto ao tempo entre a admissão e o procedimento, tempo de internação e complicações pós-operatórias, sendo relevante a diferença no tempo do procedimento.

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“…8 In 2013, Sattarova et al reported that in Canadian pediatric centers, the use of laparoscopy for appendectomy, pyloromyotomy, cholecystectomy, and splenectomy varied greatly (37-90%). 9 A plateau in the use of laparoscopy was reached for cholecystectomy, splenectomy, and appendectomy while despite the high level of evidence, the use of laparoscopic pyloromyotomy remained low but associated with a trend in increasing its implementation (►Fig. 1).…”

Section: Introductionmentioning

confidence: 99%

Is the Laparotomy Here to Stay? A Review of the Disadvantages of Laparoscopy

et al. 2020

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Minimally invasive procedures have seen increasing utilization in the pediatric patient population since the 1990s. Most thoracic and abdominal operations in pediatric surgery can be performed in a minimally invasive manner including those performed in neonates and infants. Thoracoscopic or laparoscopic operations can reduce hospital length of stay, minimize postoperative pain, and lead to more aesthetic results. However, it is important to be aware of the inherent risks, limitations, and adverse effects associated with these thoracoscopic and laparoscopic techniques, particularly in special populations. In this article, we will review the risks and limitations of laparoscopy in pediatric patients such as cost, operative time, reduced effectiveness, air embolism, hypercarbia, hypothermia, and access-related injuries.

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Laparoscopy in pediatric surgery: Implementation in Canada and supporting evidence

Cited by 15 publications

References 36 publications

Qualities of life of children with gallstone disease transferred a cholecystectomy in the early postoperative period living on subarctic region conditions

Qualities of life of children with gallstone disease transferred a cholecystectomy in the early postoperative period living on subarctic region conditions

Apendicectomia aberta versus videolaparoscópica em crianças: estudo prospectivo em hospital público terciário

Is the Laparotomy Here to Stay? A Review of the Disadvantages of Laparoscopy

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