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[Videothoracoscopy, laparoscopy and minimal-access surgery]
J M Ribo Cruz1, M E Martín Hortigüela, J M Mallol
1Unidad integrada, Hospital Sant Joan de Déu y Hospital Clinic, Barcelona.
Summary
Pediatric endoscopic surgery, including laparoscopy and thoracoscopy, demonstrates a high success rate with no complications in over 100 procedures. These minimally invasive techniques are suitable for various pediatric surgical cases.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
- Laparoscopy and Thoracoscopy
Background:
- Endoscopic surgery is increasingly adopted in pediatric surgery.
- A review of initial experiences with laparoscopic and thoracoscopic procedures was conducted.
Purpose of the Study:
- To evaluate the safety and efficacy of endoscopic surgery in pediatric patients.
- To determine the suitability of laparoscopy and thoracoscopy for a range of pediatric surgical conditions.
Main Methods:
- A retrospective review of 101 endoscopic surgical procedures performed.
- Procedures included laparoscopy (93 cases) and thoracoscopy (8 cases).
- Analysis of patient demographics, surgical systems involved, and outcomes.
Main Results:
- Procedures covered genitourinary (51.5%), digestive (40.5%), and thoracic (8%) systems.
- Patient age ranged from 20 days to 17 years, with a male predominance.
- No complications were reported, and a high success rate was achieved.
Conclusions:
- Endoscopic surgery, specifically laparoscopy and thoracoscopy, is a safe and effective approach for pediatric patients.
- The high success rate and absence of complications support the wider adoption of these techniques in pediatric surgery departments.