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Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...

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Updated: Jun 10, 2026

Robot-Assisted Laparoscopic Splenectomy In Children: A Case Report with Literature Review
05:06

Robot-Assisted Laparoscopic Splenectomy In Children: A Case Report with Literature Review

Published on: March 27, 2026

Challenges in paediatric laparoscopic surgeries.

Ruchi Gupta1, Saru Singh

  • 1Prof & Head, Deptt. of Anaesthesia, Sri Guru Ram Das Institute of Medical Sciences & Research, Amritsar - 143001, Punjab.

Indian Journal of Anaesthesia
|July 20, 2010
PubMed
Summary
This summary is machine-generated.

Paediatric laparoscopy requires specialized anesthetic management due to pneumoperitoneum and patient positioning. Careful monitoring and specific techniques are crucial for safe and successful outcomes in pediatric minimally invasive surgery.

Keywords:
Anaesthetic challengesPaediatric Laparoscopy

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Last Updated: Jun 10, 2026

Robot-Assisted Laparoscopic Splenectomy In Children: A Case Report with Literature Review
05:06

Robot-Assisted Laparoscopic Splenectomy In Children: A Case Report with Literature Review

Published on: March 27, 2026

Transmesenteric Laparoscopic Pyeloplasty in Trendelenburg Position for Horseshoe Kidney with Hydronephrosis
03:57

Transmesenteric Laparoscopic Pyeloplasty in Trendelenburg Position for Horseshoe Kidney with Hydronephrosis

Published on: July 8, 2025

Area of Science:

  • Pediatric Anesthesiology
  • Minimally Invasive Surgery
  • Surgical Complications

Background:

  • Paediatric laparoscopy is increasingly common in minimally invasive surgery.
  • Anaesthetic management presents unique challenges in children compared to adults.
  • Factors include pneumoperitoneum, extreme patient positioning, and paediatric physiological differences.

Purpose of the Study:

  • To outline the anaesthetic considerations for paediatric laparoscopic surgery.
  • To highlight the challenges and essential management strategies.
  • To emphasize vigilance for intraoperative complications.

Main Methods:

  • Controlled ventilation with careful monitoring of pneumoperitoneum pressure (6-12 cm H2O) and gas flow (0.9 L/min).
  • Essential temperature monitoring and meticulous intravenous fluid management.
  • Preferred sevoflurane induction for easier venous access in pediatric patients.

Main Results:

  • Physiological and anaesthetic considerations are largely similar to adults, but with key pediatric-specific differences.
  • Intraoperative surgical complications are more frequent, necessitating heightened vigilance.
  • Avoiding the periumbilical area is critical due to un-involuted umbilical vessels.

Conclusions:

  • Careful anaesthetic management is paramount for successful paediatric laparoscopic surgery.
  • Understanding and addressing pediatric-specific challenges ensures patient safety.
  • Vigilance for complications and adherence to specific techniques are vital.