Impact of minimally invasive surgery in children.
An important medical technological progress of this century corresponds to the application of minimal invasive surgical techniques in adults and children. Laparoscopic surgery is causing an impact in the results of many procedures done during the pediatric age. Within this review we explore the development of laparoscopic abdominal surgery in children along with basic physiology and complications of establishing a potential working space (pneumoperitoneum). Indications, results, and where we are headed in the management of various of the most common surgical conditions of children are issues discussed. Laparoscopic surgery has proven safe, efficient, technically feasible and well tolerated in most children. Produces early return to activities, reduced hospital stay, less hospital bills, and better cosmetic results when compared to open (conventional) procedures.
Lugo-Vicente
H L
HL
U.P.R. School of Medicine, San Juan. titolugo@coqui.net
D000005:Abdomen / Q000601:surgery*; D000367:Age Factors; D001062:Appendectomy / Q000379:methods; D002648:Child; D002675:Child, Preschool; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects / Q000379:methods; D018662:Fundoplication / Q000379:methods; D006552:Hernia, Inguinal / Q000601:surgery; D006801:Humans; D007223:Infant; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods / Q000639:trends; D019060:Minimally Invasive Surgical Procedures; D011028:Pneumoperitoneum, Artificial / Q000009:adverse effects / Q000379:methods; D012307:Risk Factors; D013156:Splenectomy / Q000379:methods