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Related Experiment Videos

Pediatric endoscopic surgery: pride and prejudice

A Delarue1, J M Guys, C Louis-Borrione

  • 1Department of Pediatric Surgery, Hôpital d'Enfants de la Timone, Marseilles, France.

European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [Et Al] = Zeitschrift Fur Kinderchirurgie
|December 1, 1994
PubMed
Summary

This study evaluated 82 endoscopic surgical procedures in children, finding no perioperative deaths but noting three major complications and 14 conversions to open surgery. The research discusses indications for minimally invasive surgery in pediatric patients.

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Area of Science:

  • Pediatric Surgery
  • Minimally Invasive Procedures
  • Surgical Outcomes

Background:

  • Endoscopic surgery is increasingly utilized in pediatric care.
  • Multispecialty children's hospitals manage diverse surgical pathologies.
  • Evaluating outcomes of endoscopic procedures in pediatric populations is crucial.

Purpose of the Study:

  • To assess the safety and efficacy of endoscopic surgical procedures in children.
  • To analyze the types of pathologies treated and complications encountered.
  • To discuss indications and decision-making for endoscopic surgery in pediatric patients.

Main Methods:

  • Retrospective review of 82 endoscopic surgical procedures performed between January 1991 and December 1992.
  • Procedures were conducted by a single surgeon on 75 pediatric patients (1 month to 17 years).

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  • Data collected included procedure type, pathology, complications, and conversion rates.

    • Main Results:

    • No perioperative deaths occurred in 82 procedures.
    • Three major complications were reported: post-appendectomy peritonitis, splenectomy hemorrhage, and post-operative occlusion.
    • 14 patients (17%) required conversion to open surgery.

    Conclusions:

    • Endoscopic surgery in children can be performed with no perioperative mortality.
    • Careful patient selection and surgeon experience are vital for minimizing complications and conversion rates.
    • Further discussion on indications for advanced lesions and management of incidental findings is warranted.