Outcomes of laparoscopic and open surgery in children with and without congenital heart disease

Chu, David I.; Tan, Jonathan M.; Mattei, Peter; Simpao, Allan F.; Costarino, Andrew T.; Shukla, Aseem R.; Rossano, Joseph W.; Tasian, Gregory E.

doi:10.1016/j.jpedsurg.2017.10.052

Cited by 15 publications

(7 citation statements)

References 38 publications

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“…Concerns that these influences could cause hypoxemia and pulmonary hypoperfusion had discouraged the use of MIS in children with heart disease; however, studies investigating the tolerability of IAPs in children with congenital heart disease (CHD) have established that IAPs between 8 and 12 mmHg in children less than 5 years old are safe, regardless of pre-existing conditions [25]. While the evidence does not indicate an absolute contraindication to MIS for patients with CHD [25][26][27][28][29], those with severe disease should undergo monitoring with transesophageal echocardiography, and pediatric cardiac anesthesia personnel should be involved with their pre-surgical evaluation and perioperative management [30].…”

Section: Risk Stratificationmentioning

confidence: 99%

“…When assessing suitability for robotic surgery in patients with comorbidities, stratification of the anesthetic risk by medical history, clinical examination, and diagnostic investigations is recommended [24,[36][37][38][39] (Grade A-Best Practice) 2. The presence of congenital heart disease does not constitute an absolute contraindication to robotic surgery, as established by clinical studies in other laparoscopic approaches [25,26,28,40] (Statement of Fact) 3. Perioperative management and assessment of surgical timing for the frailest patients must be carried out by a multidisciplinary team of pediatric specialists [30] (Grade A-Best Practice) 4.…”

Section: Statementsmentioning

confidence: 99%

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Pediatric robotic surgery: issues in management—expert consensus from the Italian Society of Pediatric and Neonatal Anesthesia and Intensive Care (SARNePI) and the Italian Society of Pediatric Surgery (SICP)

et al. 2022

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Background Pediatric robotic-assisted surgeries have increased in recent years; however, guidance documents are still lacking. This study aimed to develop evidence-based recommendations, or best practice statements when evidence is lacking or inadequate, to assist surgical teams internationally. Methods A joint consensus taskforce of anesthesiologists and surgeons from the Italian Society of Pediatric and Neonatal Anesthesia and Intensive Care (SARNePI) and the Italian Society of Pediatric Surgery (SICP) have identified critical areas and reviewed the available evidence. The taskforce comprised 21 experts representing the fields of anesthesia (n = 11) and surgery (n = 10) from clinical centers performing pediatric robotic surgery in the Italian cities of Ancona, Bologna, Milan, Naples, Padua, Pavia, Perugia, Rome, Siena, and Verona. Between December 2020 and September 2021, three meetings, two Delphi rounds, and a final consensus conference took place. Results During the first planning meeting, the panel agreed on the specific objectives, the definitions to apply, and precise methodology. The project was structured into three subtopics: (i) preoperative patient assessment and preparation; (ii) intraoperative management (surgical and anesthesiologic); and (iii) postoperative procedures. Within these phases, the panel agreed to address a total of 18 relevant areas, which spanned preoperative patient assessment and patient selection, anesthesiology, critical care medicine, respiratory care, prevention of postoperative nausea and vomiting, and pain management. Conclusion Collaboration among surgeons and anesthesiologists will be increasingly important for achieving safe and effective RAS procedures. These recommendations will provide a review for those who already have relevant experience and should be particularly useful for those starting a new program.

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Section: Risk Stratificationmentioning

confidence: 99%

Section: Statementsmentioning

confidence: 99%

Pediatric robotic surgery: issues in management—expert consensus from the Italian Society of Pediatric and Neonatal Anesthesia and Intensive Care (SARNePI) and the Italian Society of Pediatric Surgery (SICP)

et al. 2022

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“…A cirurgia laparoscópica tem uma série de benefícios em comparação com a cirurgia aberta convencional, como, por exemplo, menor perda sanguínea intraoperatória 6,7 , menor necessidade de analgésicos 8 , melhora dos resultados pósoperatórios, garantia de melhor qualidade de vida a curto prazo 9 , e redução da morbidade em pacientes portadores de cardiopatias 10 .…”

Section: Introductionunclassified

“…Os pacientes cirúrgicos por laparoscopia apresentaram uma menor taxa de mortalidade em 30 dias, menor tempo de internação, e menos chances de necessidade de transfusão sanguínea pósoperatória. No entanto, conforme a gravidade da CC aumentou, os benefícios da laparoscopia diminuiram para a mortalidade nesse período de tempo, porém, ela ainda se manteve mais benéfica em comparação com a cirurgia aberta10 . Ainda na Pediatria, uma pesquisa trouxe resultados contraditórios em relação à piloromiotomia laparoscópica comparando com a abordagem clássica aberta em crianças submetidas a tratamento cirúrgico para estenose pilórica.…”

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Benefícios Da Cirurgia Laparoscópica Para O Paciente: Uma Revisão De Literatura

Santos

Oliveira²,

Moura³

et al. 2023

REASE

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A submissão a um procedimento cirúrgico representa uma situação de preocupação e estresse para o paciente e seu corpo. Para amenizar os efeitos dessa situação, foi desenvolvida uma técnica operatória minimamente invasiva, a cirurgia laparoscópica, que vem substituindo brilhantemente a cirurgia tradicional “aberta”. Consiste em uma técnica especializada para a realização de procedimentos operatórios, a qual se faz por meio de mínimas incisões medindo cerca de 1 centímetro, e instrumentos especiais. Assim, o cirurgião tem acesso à cavidade desejada, lesionando minimamente o corpo do paciente. O objetivo desta revisão foi analisar os benefícios da cirurgia laparoscópica em relação à tradicional. Para isso, foi realizada uma busca por trabalhos prévios nas plataformas PubMed, LILACS e SciELO, e um total de 25 artigos foram incluídos após o uso de critérios de inclusão e exclusão. Através dos estudos analisados, foi possível concluir que a laparoscopia traz grandes benefícios para os pacientes, tanto dentro do centro cirúrgico, quanto no pós-operatório. A opção por esse tipo de cirurgia diminui o tempo de sedação e o tempo operatório de grande parte dos pacientes, além da significante redução da internação pós-cirúrgica, antecipando a alta hospitalar. Ademais, mostrou-se significante em relação à sobrevida e à qualidade de vida pessoal, melhorando e acelerando a recuperação pós-operatória. Assim, pode-se perceber que a cirurgia laparoscópica, na maioria das vezes, é a melhor opção para o paciente.

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“…And they do have an increased risk for readmission after laparoscopic surgery. 6 What about day surgery, the other side of the surgical spectrum:…”

mentioning

confidence: 99%

Anaesthesia risks for non-cardiac procedures in cardiac patients

Schure

2020

South Afr J Anaesth Analg

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Outcomes of laparoscopic and open surgery in children with and without congenital heart disease

Abstract: Level III: Treatment Study.

Cited by 15 publications

References 38 publications

Pediatric robotic surgery: issues in management—expert consensus from the Italian Society of Pediatric and Neonatal Anesthesia and Intensive Care (SARNePI) and the Italian Society of Pediatric Surgery (SICP)

Pediatric robotic surgery: issues in management—expert consensus from the Italian Society of Pediatric and Neonatal Anesthesia and Intensive Care (SARNePI) and the Italian Society of Pediatric Surgery (SICP)

Benefícios Da Cirurgia Laparoscópica Para O Paciente: Uma Revisão De Literatura

Anaesthesia risks for non-cardiac procedures in cardiac patients

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