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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
[Role in mini-invasive surgery in children]
1Dipartimento di Chirurgia Pediatrica Ospedale Giannina Gaslini Università di Genova, Genova, Italia - edoardoguida@libero.it.
Insights
Minimally invasive surgery is a safe and effective option for pediatric patients, offering reduced hospital stays and improved outcomes. This approach is increasingly preferred by parents for its benefits over traditional methods.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Procedures
- Surgical Outcomes
Context:
- The study evaluated 1803 minimally invasive surgeries performed on pediatric patients between 2006 and 2012.
- Data collected included patient demographics, surgical procedure type, complications, and length of hospital stay.
- Minimally invasive surgery is gaining prominence in pediatric surgical care.
Purpose:
- To assess the safety and efficacy of minimally invasive surgery in children.
- To compare outcomes of minimally invasive surgery with conventional surgical methods.
- To highlight the role of minimally invasive surgery in pediatric patient treatment.
Summary:
- 1803 minimally invasive procedures were performed out of 12,596 total surgeries.
- Procedures included treatments for Hirschsprung's disease, inflammatory bowel disease, gastroesophageal reflux disease, and pectus excavatum.
- The complication rate was low at 0.9%, with a median length of stay of 3 days.
Impact:
- Minimally invasive surgery is a safe and effective alternative for pediatric patients.
- Associated with shorter hospital stays, reduced pain, and better cosmetic results.
- Offers improved quality of life and is increasingly preferred by parents.
Aim:
This paper describes our experience with minimally invasive surgery and underlines its increasingly important role in the treatment of pediatric patients.
Methods:
The study included all those patients undergoing a minimally invasive surgical procedure between January 2006 and March 2012. Patient demographics, type of operation (classified according to disease and anatomic site), complications, and length of hospital stay (LOS) were recorded.
Results:
Out of 12,596 surgeries, 1803 (14.3%) minimally invasive procedures were performed: Soave-Georgeson endorectal colon pull-through for Hirschsprung's disease (N.=82); colectomy for chronic inflammatory bowel disease (N.=37); ileal J-pouch ano-rectal Knight-Griffen anastomosis in colectomized patients with chronic ulcerative colitis (N.=35); Nissen fundoplication for gastroesophageal reflux disease (N.=148); cholecystectomy (N.=68); appendectomy (N.=341); laparoscopic or thoracoscopic tumor resection or biopsy (N.=90); reconstruction of the renal pelvi and ureters (N.=11); and Nuss thoracoplasty for pectus excavatum (N.=237). The median age was 3 years; the median LOS was 3 days; the complications rate was 0.9% (N.=18).
Conclusion:
According to our experience, minimally invasive surgery is a safe and efficacious alternative to conventional surgery (in terms of complications) also in children. It was associated with shorter LOS and improved quality of life, with less pain and better aesthetic results. It has become the preferred surgical treatment option by parents.
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