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[Laparoscopic surgery in children]

P Olivares1, J A Tovar

  • 1Departamento de Cirugía Pediátrica, Hospital Infantil Universitario La Paz, Madrid.

Anales Espanoles De Pediatria
|July 15, 1998
PubMed
Summary
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Laparoscopic surgery in children is a safe and effective alternative to open procedures, with low complication rates and faster recovery. Pediatricians should be aware of its expanding role and indications.

Area of Science:

  • Pediatric Surgery
  • Minimally Invasive Surgery
  • Endoscopic Procedures

Context:

  • Laparoscopic surgery has evolved significantly, offering new approaches for pediatric surgical conditions.
  • Between 1992 and 1997, a comprehensive review of laparoscopic procedures in children was conducted.
  • This study provides updated information for pediatricians on the technical aspects and limitations of pediatric laparoscopy.

Purpose:

  • To summarize the experience with laparoscopic surgery in children from 1992 to 1997.
  • To inform pediatricians about the background, technical basis, and limitations of pediatric laparoscopic surgery.
  • To highlight the growing indications and benefits of minimally invasive surgical techniques in pediatric patients.

Summary:

  • A total of 315 laparoscopic operations were performed on patients ranging from newborns to adolescents.

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  • Common procedures included gonadal operations, fundoplication, cholecystectomy, and appendectomy.
  • Complications were infrequent (1.2% major, 5.3% minor), with a low conversion rate (2.2%) to open surgery.

    • Impact:

    • Laparoscopic surgery is a viable and increasingly utilized option in pediatric medicine.
    • The procedure offers advantages such as reduced pain, shorter hospital stays, and quicker recovery.
    • Pediatricians must stay informed about the expanding applications and rationale of laparoscopic surgery in children.