title: [Problems in technical development of laparoscopy and thoracoscopy in infancy].
abstract: In neonates a new fixation of the trocars must be found since the umbilical ring is large and distensible and the abdominal wall is very thin. The pressure-controlled pneumoperitoneum is maintained by using a special "surgiflator" system which prevents high pressure peaks in the small abdominal cavity of neonates. By using a Nd:YAG laser for transection during coagulation an additional trocar can be dispensed with.
authors.affiliation: Kinderchirurgische Abteilung, Universitätsklinik B. Franklin, Berlin.
authors.forename: K
authors.initials: K
authors.lastname: Hoffmann
authors.forename: D
authors.initials: D
authors.lastname: Cholewa
authors.forename: L
authors.initials: L
authors.lastname: Stroedter
authors.forename: J
authors.initials: J
authors.lastname: Waldschmidt
mesh_terms: D019723:Endoscopes; D004867:Equipment Design; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000473:pathology / Q000601:surgery; D020706:Laparoscopes; D053685:Laser Therapy / Q000295:instrumentation; D008297:Male; D011028:Pneumoperitoneum, Artificial / Q000295:instrumentation; D013525:Surgical Instruments; D020708:Thoracoscopes
vernacular_title: Problematik der technischen Entwicklung für die Laparoskopie und Thorakoskopie im Säuglingsalter.