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[Laparoscopic surgery in children]
P Buisson1, M D Leclair, G Podevin
1Service de chirurgie pédiatrique, hôpital de la mère et de l'enfant, quai Moncousu, 44093 Nantes cedex 01, France.
Summary
Pediatric laparoscopy surgery offers simpler postoperative recovery and reduced adhesion risks. However, it is not suitable for all conditions, especially in neonates, with robotic surgery potentially being the future.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
- Surgical Innovation
Context:
- Laparoscopic surgery has seen increasing adoption in pediatric patients over the last 20 years.
- Understanding and managing cardiorespiratory changes associated with laparoscopy in children is well-established.
- Abdominal and urological pediatric surgeries have significantly benefited from laparoscopic techniques.
Purpose:
- To review the adoption, benefits, and limitations of laparoscopy in pediatric surgery.
- To highlight the advantages of laparoscopy, including simpler postoperative periods and reduced risks of adhesions.
- To identify areas where further research is needed, particularly in neonatal surgery.
Summary:
- Laparoscopy in children has advanced significantly, offering simpler recoveries and fewer adhesion complications in abdominal and urological procedures.
- While beneficial, laparoscopic surgery is not universally indicated for all pediatric conditions.
- Further research is required for neonatal applications, and robotic surgery presents a potential future direction.
Impact:
- Improved patient outcomes through minimally invasive approaches.
- Reduced hospital stays and recovery times for pediatric surgical patients.
- Paving the way for future advancements like robotic-assisted pediatric surgery.