[Minimally invasive surgery for the management of congenital diaphragmatic patology].
BACKGROUND
Minimally invasive surgery (MIS) plays a major role in pediatric surgery. We reported our experience in MIS management of congenital diaphragmatic patology (CDP).


METHODS
The authors collected date on children who underwent a MIS for CDP repair from 1998 until 2006. The following features have been taken into account: lesion type, approach, surgical technique, complications, hospital stay and time of follow-up.


RESULTS
From 1998 until 2006 11 patients (age range: 2 days-6 years and 6 months) with CDP had undergone an attempt at MIS repair: 6 patients with posterolateral hernia (36.4%), 4 with Morgagni hernia ( 54.5%) and a congenital diaphragmatic eventration case (9%). Eight patients 8 (72.7%) were treated using laparoscopy and three cases using thoracoscopy. Three patients were treated as newborns (27.2%). Four patients presented complications (36.3%): two patients who were repaired initially laparoscopically were converted to a transabdominally approach and two patients had recurrent herniation, which were repaired with MIS. Actually all cases were asymptomatic with a mean time of follow-up of 1 year and 8 months (range: 3 months-two years).


CONCLUSIONS
MIS is a feasible, safe, easy to perform and efficient approach to repair CDP but it needs selection criteria for successful outcome.
Cabezalí Barbancho
D
D
Sección de Cirugía General, Servicio de Cirugía Pediátrica, Hospital Universitario 12 de Octubre, Madrid. dcabezali@yahoo.es
Cano Novillo
I
I
García Vázquez
A
A
López Díaz
M
M
Tejedor Sánchez
R
R
Benavent Gordo
M
M
D002648:Child; D002675:Child, Preschool; D003964:Diaphragm; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D010535:Laparoscopy; D009135:Muscular Diseases / Q000151:congenital* / Q000601:surgery*; D012189:Retrospective Studies; D013906:Thoracoscopy