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Intraoperative Endoscopy as an Adjuvant to Minimally Invasive Surgery in Pediatrics
Carlos García-Hernández1, Lourdes Carvajal-Figueroa1, Christian Archivaldo-García1
1Departamento de Cirugía Pediátrica, Hospital Infantil Privado, Curso de Alta Especialidad Postgrado, Universidad Nacional Autónoma de México, Ciudad de México, México.
Summary
Intraoperative endoscopy enhances minimally invasive surgery in children by improving visualization and identifying complications. This technique ensures safer pediatric surgical procedures, particularly for upper digestive conditions.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Endoscopy
- Minimally Invasive Surgery
Background:
- Minimally invasive surgery (MIS) presents unique visual and tactile challenges compared to open surgery.
- These limitations can increase complication risks, especially in complex pediatric procedures.
- Flexible endoscopy offers a potential solution to enhance safety and outcomes in pediatric MIS.
Purpose of the Study:
- To evaluate the effectiveness of intraoperative endoscopy as an adjunct to MIS in pediatric patients.
- To determine if endoscopy improves complication detection and management during upper gastrointestinal surgery.
Main Methods:
- Retrospective review of medical records for pediatric patients undergoing MIS with simultaneous endoscopy.
- Study period: January 2000 to December 2020.
- Inclusion criteria: Pediatric patients with upper digestive pathologies treated with laparoscopic procedures and endoscopy.
Main Results:
- 83 pediatric patients were included, with diagnoses including peptic stenosis, achalasia, and re-fundoplication.
- Adjuvant endoscopy identified 7 digestive perforations, diagnosed 11 cases of short esophagus, and confirmed anastomosis permeability in 6 cases.
- No endoscopy-related complications were reported.
Conclusions:
- Simultaneous digestive endoscopy in the upper gastrointestinal tract aids organ identification and dissection during MIS.
- Digestive endoscopy is a valuable adjunct for pediatric MIS, improving complication detection and procedural safety.
- Further prospective studies are recommended to validate these findings.
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