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Minimally invasive pediatric surgery: Increasing implementation in daily practice and resident's training
E A te Velde1, N M A Bax, S H A J Tytgat
1Department of Pediatric Surgery, Wilhelmina Children's Hospital, University Medical Center, Utrecht, The Netherlands. e.a.tevelde@umcutrecht.nl
Surgical Endoscopy
|May 8, 2007
Summary
Pediatric minimally invasive surgery, or laparoscopy, is now standard for abdominal procedures in children. Laparoscopic surgery training in pediatric surgical residents shows no negative impact on patient outcomes.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
- Surgical Training
Background:
- Assessed pediatric minimally invasive abdominal surgery in 1998.
- Evaluated the current status of pediatric minimally invasive surgery in 2005.
Purpose of the Study:
- Determine the current practice of pediatric minimally invasive surgery.
- Assess the impact of laparoscopy on surgical training.
Main Methods:
- Retrospective review of pediatric intra-abdominal operations.
- Data collected from January 1, 2005, to December 31, 2005.
Main Results:
- 81% of abdominal procedures were laparoscopic.
- Complication rate remained stable at 6.9%.
- Conversion rate decreased to 7.4% from 10% in 1998.
- 64.2% of laparoscopic procedures were performed by trainees without increased complications or conversions.
- No difference in operative times between open and laparoscopic surgery or trainee vs. staff surgeons.
Conclusions:
- Laparoscopy is an established approach for pediatric abdominal procedures.
- Minimally invasive surgery training does not negatively impact surgical training or patient outcomes.