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Updated: Mar 12, 2026

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
[Minimally invasive surgery in childhood]
S Kellnar1, S Singer2, O Münsterer3
1Klinik für Kinderchirurgie, Klinikum Dritter Orden, Franz-Schrank-Str. 8, München, Deutschland. stephan.kellnar@dritter-orden.de.
Insights
Minimally invasive surgery is increasingly used in pediatric surgery, offering versatile options for various conditions in children. While widely applicable, not all minimally invasive techniques are suitable replacements for traditional open procedures.
Area of Science:
- Pediatric Surgery
- Surgical Innovation
- Minimally Invasive Procedures
Background:
- Minimally invasive surgical techniques, including laparoscopy and thoracoscopy, are now standard in adult surgery.
- These advanced techniques are increasingly adopted in pediatric surgery, mirroring adult trends.
- Pediatric surgery encompasses a broad range of congenital and acquired conditions in patients from neonates to adolescents.
Purpose of the Study:
- To review the established role and versatility of minimally invasive surgery in pediatric surgical interventions.
- To assess the extent to which minimally invasive approaches are replacing conventional open procedures in pediatric care.
- To highlight the broad applicability of minimally invasive surgery across the pediatric age spectrum.
Main Methods:
- Literature review of minimally invasive techniques in pediatric surgery.
- Analysis of indications and applications of laparoscopic and thoracoscopic procedures in children.
- Comparison of minimally invasive versus conventional open surgical outcomes in pediatric patients.
Main Results:
- Minimally invasive surgery is widely established in pediatric surgery for diverse indications.
- Laparoscopic and thoracoscopic procedures are frequently employed, partially replacing open surgeries.
- Nearly all pediatric surgical operations have been performed via minimally invasive routes, demonstrating broad suitability.
Conclusions:
- Minimally invasive surgery is a versatile and established approach in pediatric surgery.
- While highly effective, not all minimally invasive techniques are universally superior to conventional open procedures.
- The application of minimally invasive surgery in pediatric care continues to expand, offering significant benefits.
Abstract:
Similar to surgery in adults, minimally invasive techniques have also become established in pediatric surgery for a wide variety of indications and partially replaced the corresponding conventional open surgical procedures. This applies not only to laparoscopy for abdominal surgical interventions but also to thoracoscopic procedures. The therapy spectrum in pediatric surgery includes all congenital and acquired diseases of the growing organism, from neonates to adolescents and for this reason the indications that are suitable for minimally invasive surgical procedures are corresponding versatile. According to the literature almost every operation in pediatric surgery was performed via a minimally invasive access route. Of course, not every generally feasible minimally invasive technique can be considered as being suitable to replace proven and established open conventional procedures in pediatric surgery.

