Minimal access surgery in neonates and infants

Alqahtani, Aayed R.; Almaramhi, Hamdi

doi:10.1016/j.jpedsurg.2006.01.009

Cited by 36 publications

(28 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This may be related to a degree of scepticism about the advantages of MIS, a perception that these procedures are technically too demanding or poorly tolerated by young infants and a relative lack of institutional expertise outside pioneer centres. Nonetheless, this review found that, in general, the outcomes reported in published MIS series are comparable with those reported for the open procedures [6][7][8][9][10][11][12]. However, for the purposes of answering the question of whether these procedures are safe and in the best interest of young infants, closer scrutiny of individual interventions is imperative.…”

Section: Discussionmentioning

confidence: 84%

Feasibility of complex minimally invasive surgery in neonates

et al. 2009

View full text Add to dashboard Cite

The aim of this study was to assess the feasibility of complex minimally invasive surgery in neonates (and infants <5 kg). A systematic search of databases was performed. Inguinal herniotomy and pyloromyotomy were specifically excluded. Various operations were assessed for operative times, conversion rates, complications and centres performing the procedures. From 479 abstracts, 50 papers were identified describing 1,215 patients. Common operations performed were fundoplication (n = 473), operations for ovarian pathology (n = 151) and oesophageal atresia repair (n = 123). Other not-so-common operations included Kasai procedure (n = 61), Ladd's procedure (n = 55), bowel atresia surgery (n = 45) and congenital diaphragmatic hernia repair (n = 41). Mean operation times varied from 43 min for fundoplication to 209 min for Kasai procedure, with other operation times falling in between the two extremes. Likewise, conversion rates varied from 0.2% for fundoplication to 15% for congenital diaphragmatic hernia, with other conversion rates falling in between. Complications ranged from 0 to 67%. About 70-94% of the cases were performed in six pioneering centres. Fundoplication and operations for ovarian pathology have low complication and conversion rates and appear to be well suited to the average-trained paediatric laparoscopic surgeon. More complex procedures are feasible and safe, but technically demanding and need further expertise.

show abstract

Section: Discussionmentioning

confidence: 84%

Feasibility of complex minimally invasive surgery in neonates

et al. 2009

View full text Add to dashboard Cite

show abstract

“…Причины ослож-нений могут быть обусловлены минимальным доступом по сравнению с открытыми оперативными вмешатель-ствами. Однако результаты последних исследований подтверждают безопасность малоинвазивной хирургии в педиатрии, что послужило основанием для включения данных методик в стандарты оказания хирургической помощи детям [64][65][66][67].…”

Section: риски лапароскопических операций и обеспечение безопасностиunclassified

“…Во время проведения диагностической лапароскопии воз-можно выполнение многих манипуляций (таких как сана-ция и дренирование брюшной полости, эндокоагуляция, биопсия и др. ), что является несомненным достоинством метода [4,[34][35][36].…”

unclassified

“…[4] разработаны алгоритмы применения лапа-роскопии при большинстве экстренных состояний (таких как острый аппендицит, кишечная инвагинация, спаеч-ная болезнь, дивертикул Меккеля), предложена хирур-гическая тактика при ургентных заболеваниях органов малого таза у девочек, описан алгоритм эндоскопиче-ского и лапароскопического этапа при кишечной инва-гинации у детей. Достаточно широко представлены публикации по тактике ведения детей с острой травмой живота [4,36], детей с абдоминальным болевым син-дромом неясной этиологии, в том числе при сочетанной патологии у девочек [4,37].…”

unclassified

“…Важно отметить, что многие исследования показали преимущества лапароскопических методов у пациентов с травматическим повреждением поджелудочной желе-зы, однако отметили и недостатки [36,[38][39][40][41][42] (табл. 1).…”

unclassified

See 2 more Smart Citations

Laparoscopic Surgeries in Pediatric Abdominal Surgical Emergencies

et al. 2018

View full text Add to dashboard Cite

Robot‐Assisted Pediatric Surgery: How Far Can We Go?

et al. 2010

View full text Add to dashboard Cite

Background The purpose of this study was to assess the safety and feasibility of performing robot-assisted pediatric surgery using the da Vinci Surgical System in a variety of surgical procedures. Methods A retrospective review of 144 robot-assisted pediatric surgical procedures performed in our institution between June 2004 and December 2007 was done. The procedures included the following: 39 fundoplications; 34 cholecystectomies; 25 gastric bandings; 13 splenectomies; 4 anorectal pull-through operations for imperforate anus; 4 nephrectomies; 4 appendectomies; 4 sympathectomies; 3 choledochal cyst excisions with hepaticojejunostomies; 3 inguinal hernia repairs; two each of the following: liver cyst excision, repair of congenital diaphragmatic hernia, Heller's myotomy, and ovarian cyst excision; and one each of the following: duodeno-duodenostomy, adrenalectomy, and hysterectomy. Results A total of 134 procedures were successfully completed without conversion; 7 additional cases were converted to open surgery, and 3 were converted to laparoscopic surgery. There were no system failures (e.g., setup joint, arm, or camera malfunction; power error; monocular or binocular loss; metal fatigue or break of surgeon's console hand piece; software incompatibility). There was one esophageal perforation and two cases of transient dysphagia following Nissen fundoplication. The mean patient age was 8.9 years, and the mean patient weight was 57 kg. Conclusions Robot-assisted surgery appears to be safe and feasible for a number of pediatric surgical procedures. Further system improvement and randomized studies are required to evaluate the benefits, if any, and the long-term outcomes of robotic surgery.

show abstract

Minimal access surgery in neonates and infants

Cited by 36 publications

References 13 publications

Feasibility of complex minimally invasive surgery in neonates

Feasibility of complex minimally invasive surgery in neonates

Laparoscopic Surgeries in Pediatric Abdominal Surgical Emergencies

Robot‐Assisted Pediatric Surgery: How Far Can We Go?

Contact Info

Product

Resources

About