Pediatric endoscopic surgery: pride and prejudice.
82 endoscopic surgical procedures (abdominal: 77; thoracic: 5) were performed by the same surgeon on 75 children aged from 1 month to 17 years (median 8.1 years) during the two-year period from January 1991 to December 1992. Due to the multispecialization of the Children's Hospital, a variety of pathologies were explored or treated with appendectomy accounting for 33% (27/82). There were no perioperative deaths. Three major complications occurred (1 post-appendectomy peritonitis, 1 hemorrhage during splenectomy and 1 post-operative occlusion). 14 patients required conversion to open surgery. Indications for endoscopic exploration of advanced lesions, prospective indications, and policy when confronted with a healthy appendix are discussed.
Delarue
A
A
Department of Pediatric Surgery, Hôpital d'Enfants de la Timone, Marseilles, France.
Guys
J M
JM
Louis-Borrione
C
C
Simeoni
J
J
Esposito
C
C
D000005:Abdomen / Q000601:surgery*; D000293:Adolescent; D001062:Appendectomy / Q000639:trends; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007431:Intraoperative Complications / Q000209:etiology; D010535:Laparoscopy / Q000639:trends*; D008297:Male; D011183:Postoperative Complications / Q000209:etiology; D013896:Thoracic Diseases / Q000601:surgery*; D013906:Thoracoscopy / Q000639:trends*; D016896:Treatment Outcome