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[Laparoscopy in the newborn infant--indications and procedure]
T Doede1, K Hoffmann, K Graffmann-Weschke
1Abteilung für Kinderchirurgie, Universitätsklinikum Benjamin Franklin, Freie Universität Berlin.
Langenbecks Archiv Fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft Fur Chirurgie. Kongress
|February 5, 1999
Summary
Minimal invasive surgery, specifically laparoscopy, is feasible and effective in neonates. This technique offers a viable option for surgical interventions in the youngest patients, meeting minimally invasive surgery requirements.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
- Neonatal Care
Context:
- Minimal invasive surgery is gaining traction in neonatal care.
- Thirty-three laparoscopic procedures were analyzed up to 1997.
- The study included neonates as young as 2 days old and weighing 2150g.
Purpose:
- To discuss the indications and technical aspects of minimal invasive surgery in neonates.
- To evaluate the feasibility and outcomes of laparoscopy in newborns.
Summary:
- Laparoscopy was performed in 33 neonates, with common indications including cholestasis, cystic masses, pyloromyotomies, and sigmoid resections.
- Three conversions were required for choledochal cysts and splenic torsion.
- Complications included incisional hernia and rectal stenosis post-sigmoid resection.
Impact:
- Laparoscopy is a safe and effective minimally invasive surgical option for neonates.
- This approach meets the criteria for minimally invasive surgery in the youngest patient population.
- The findings support the expanded use of laparoscopy in neonatal surgical practice.