Minimally Invasive Surgery in Newborns and Infants - Own Experience
Languages of publication
The aim of the study was to present own experience in utilisation of minimally invasive techniques in newborn and infant.Material and methods. It is retrospective analysis of minimally invasive procedures conducted in Department of Pediatric Surgery and Urology with focus on patients group up to age of one year.Results. In total 1791 minimally invasive procedures were conducted of which 234 (13.1%) operations were performed on 227 (7 patients underwent procedure twice) children in age group of up to one year in period from 01.04.1995 till 30.06.2008. There were 28 (11.97%) thoracoscopic and 206 (88.03%) laparoscopic procedures. No complications related to creation of pneumoperitoneum or surgical pneumothorax were observed. The commonest indications to surgery were inguinal hernia (116 children) oesophageal atresia with tracheoesophageal fistula (23 cases) and prolonged neonatal jaundice (18 patients).In total in 29 cases it was necessary to convert to open surgery, 2 cases due to intraoperative complications (bleeding, duodenal wall perforation) and in 14 cases due to poor visualisation of operating field.Conclusions. There is broad spectrum of indications to minimally invasive surgery in newborn and infant patients. Results indicate good tolerability of the procedure even in patients with low weight, safety and efficacy in typical conditions. Limited number of procedures performed in various conditions does not allow to draw uniform conclusions and requires further study.
1 - 2 - 2009
20 - 3 - 2009
- Al-Qahtani AR, Almaramhi H: Minimal access surgery in neonates and infants. J Ped Surg 2006; 41: 910-13.
- Rothenberg SS: Thoracoscopy in infants and children: the state of the art. J Ped Surg 2005; 40: 303-06.
- Ure BM, Schmidt Al, Jesch NK: Thoracoscopic surgery in infants and children. Eur J Pediatr Surg 2005; 15(5): 314-18.[PubMed][Crossref]
- Montupet P, Esposito C, Roblot-Maigret B: Laparoscopic treatment of congenital inguinal hernia in children. J Pediatr Surg 1999; 34: 420-23.[PubMed][Crossref]
- Patkowski D, Czernik J, Chrzan R et al.: Percutaneous internal ring suturing: a simple minimally invasive technique for inguinal hernia repair in children. J Laparoendosc Adv Surg Tech 2006; 16: 513-17.
- Georgeson KE, Robertson DJ: Minimally Invasive Surgery in the Neonate: Review of Current Evidence. Seminars in Perinatology 2004; 28: 212-20.[Crossref][PubMed]
- Patkowski D, Chrzan R, Jaworski W et al.: Percutaneous internal ring suturing for inguinal hernia repair in children under three months of age. Adv Clin Exp Med 2006; 15: 851-56.
- Ure BM, Bax NM, van der Zee DC: Laparoscopy in infants and children: a prospective study on feasibility and the impact on routine surgery. J Pediatr Surg 2000; 35: 1170-73.[Crossref]
- Phelp S, Agrawal M: Morbidity after neonatal inguinal herniotomy. J Pediatr Surg 1997; 32: 445-47.[Crossref]
- Patkowski D: Przezskórne zamknięcie pierścienia pachwinowego wewnętrznego w leczeniu przepukliny pachwinowej u dzieci - opis i ocena wartości klinicznej metody własnej. Rozprawa habilitacyjna. AM Wrocław 2007; 92 s.
- Lobe TE, Rothenberg SS, Waldschmidt J: Thoracoscopic repair of esophageal atresia in an infant: a surgical first. Pediatr Endosurg Innovat Tech 1999; 3: 141-48.[Crossref]
- Holcomb GW, Rothenberg SS, Bax KMA et al.: Thoracoscopic Repair of Esophageal Atresia and Tracheoesophageal Fistula A Multi-Institutional Analysis. Ann Surg 2005; 3: 119-26.
- Patkowski D, Rysiakiewicz K, Jaworski J et al.: Thoracoscopic repair of tracheoesophageal fistula and esophageal atresia. J Laparoendosc Adv Surg Tech (praca przyjęta do druku).
- Liem NT, Dung A: Thoracoscopic repair for congenital diaphragmatic hernia: lessons from 45 cases. J Ped Surg 2006; 41: 1713-15.
Publication order reference