[Horizons of endoscopic surgery].

Area of Science:

• Surgical Innovation
• Pediatric Surgery
• Minimally Invasive Techniques

Context:

• Minimally invasive surgery (MIS) has significantly reduced patient morbidity, pain, and scarring.
• Neonatal patients have historically lagged behind adult counterparts in benefiting from MIS advancements.
• Recent technological progress has enabled MIS application in neonates.

Purpose:

• To review recent advancements in minimally invasive endoscopic surgery for neonates.
• To discuss the future potential for improving neonatal surgical procedures.
• To identify neonates who benefit most from MIS and assess risks.

Summary:

• Miniaturization of surgical instruments and novel techniques have made neonatal MIS feasible.
• Endoscopic surgery is now successfully performed in both neonatal chests and abdomens.
• The review covers patient risk profiles for insufflation-related incidents and optimal patient selection.

Impact:

• MIS provides significant benefits for neonatal surgical patients, including reduced recovery times.
• Expanded application of MIS in neonates promises improved surgical safety and efficacy.
• Future developments in neonatal MIS hold potential for further enhancing patient care and outcomes.