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Minimally Invasive Surgery in Newborns and Infants - Own Experience

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Patkowski D., Rysiakiewicz K., Rysiakiewicz J., Koziełł A., Apoznański W., Czernik J.
Polish Journal of Surgery
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2009
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vol. 81
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issue 2
81-86
EN
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.
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