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Related Experiment Videos

Minimal access surgery in children:a 5 year study.

S K Chowdhary1, D Kandpal

  • 1Department of Pediatric Urology and Pediatric Surgery, Apollo Centre of Advanced Pediatrics, Indraprastha Apollo Hospitals, Sarita Vihar, New Delhi, India. sujitchowdhary@hotmail.com

Indian Pediatrics
|June 26, 2012
PubMed
Summary
This summary is machine-generated.

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Minimal Access Surgery (MAS) in children shows comparable safety and effectiveness to open surgery. MAS offers shorter hospital stays for specific procedures and improved cosmetic outcomes, with parents preferring MAS results.

Area of Science:

  • Pediatric Surgery
  • Minimally Invasive Procedures
  • Surgical Outcomes

Background:

  • Minimal Access Surgery (MAS) is increasingly utilized in pediatric care.
  • Evaluating the safety and efficacy of MAS compared to traditional open surgery is crucial.
  • Long-term data on MAS in pediatric populations is essential for clinical decision-making.

Purpose of the Study:

  • To assess the outcome, feasibility, and safety of MAS in pediatric patients.
  • To compare MAS outcomes with age-matched controls undergoing open surgery.
  • To evaluate patient and parental satisfaction with MAS.

Main Methods:

  • Retrospective analysis of 211 children undergoing MAS over 5 years.
  • Objective comparison of MAS outcomes with concurrently treated open surgery controls.

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  • Assessment of mortality, morbidity, re-exploration, analgesic requirements, hospital stay, and cosmetic results.

    • Main Results:

    • No significant differences in mortality, morbidity, re-exploration, or analgesic needs between MAS and open surgery.
    • MAS demonstrated significantly shorter hospital stays for appendectomy, cholecystectomy, nephrectomy, splenectomy, and intra-abdominal testis surgery.
    • MAS was not associated with shorter hospital stays for appendicular perforation or intestinal pathology.
    • Parents overwhelmingly preferred the cosmetic outcomes of MAS.

    Conclusions:

    • MAS is a safe and feasible surgical option for children, with outcomes comparable to open surgery.
    • MAS offers significant benefits in reduced hospital length of stay for several common pediatric procedures.
    • Improved cosmetic results associated with MAS contribute to higher parental satisfaction.