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Published on: June 20, 2018
Endosurgery and the senior pediatric surgeon
J H Chang1, S S Rothenberg, J F Bealer
1Hospital for Infants and Children at Presbyterian/St Lukes Hospital, Denver, CO, USA.
Journal of Pediatric Surgery
|May 1, 2001
Summary
Senior pediatric surgeons can master endosurgery despite its challenges. Committing to this minimally invasive technique offers significant benefits in patient pain control and hospital stays.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
Background:
- Endosurgery presents a steep learning curve for senior pediatric surgeons.
- Challenges include lack of tactile feedback, specialized instruments, and ergonomic strain.
Purpose of the Study:
- To evaluate the feasibility and benefits of endosurgery for senior pediatric surgeons.
- To encourage adoption of minimally invasive techniques in pediatric care.
Main Methods:
- The senior author performed over 300 endoscopic procedures starting at age 53.
- Mastery of laparoscopic Nissen fundoplications required one year.
- Appendectomies were utilized to build proficiency in common endoscopic procedures.
Main Results:
- Initial learning phase involved conversions to open surgery for complications like bleeding and enterotomies.
- Proficiency was gained through performing frequent and common procedures.
Conclusions:
- Endosurgery offers significant advantages in patient pain management.
- Reduced hospitalization periods are a key benefit of adopting endosurgery.
- The technique is recommended for commitment by senior pediatric surgeons.
