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Experience with minimally invasive surgery in infants
S S Rothenberg1, J H Chang, J F Bealer
1Department of Pediatric Surgery, Hospital for Infants and Children at Presbyterian/St. Luke's Medical Center, Denver, Colorado, USA.
American Journal of Surgery
|February 2, 1999
Summary
Advanced endoscopic procedures are safe and effective for infants under 5 kg. These minimally invasive techniques offer benefits comparable to those in older patients, with high success rates and minimal complications.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
- Endoscopy
Background:
- Evaluating the feasibility, safety, and efficacy of advanced endoscopic procedures in infants weighing less than 5 kg.
- Focus on the application of minimally invasive techniques in a vulnerable patient population.
Purpose of the Study:
- To assess the outcomes of advanced endoscopic procedures in low-weight infants.
- To determine the safety and effectiveness profile of these techniques in neonates and young infants.
Main Methods:
- A 51-month study involving 183 infants (1.3-5.0 kg) undergoing 195 minimally invasive procedures.
- Utilized 3.5-mm instruments and 2.7-mm scopes for procedures including Nissen fundoplication, pyloromyotomy, and congenital diaphragmatic hernia repair.
Main Results:
- High success rate with 193 out of 195 procedures completed endoscopically.
- Reported two intraoperative complications and no mortality.
- Demonstrated short hospital stays, with Nissen fundoplication discharge at 2.1 days and patent ductus arteriosus closure at 2 days.
Conclusions:
- Advanced endosurgical techniques are safe and effective in infants weighing under 5 kg.
- Outcomes are comparable to those observed in older pediatric patients.
- Minimally invasive approaches offer significant benefits for infant surgical care.