title: [Minimally invasive surgery for the management of congenital diaphragmatic patology].
abstract: 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.
authors.affiliation: Sección de Cirugía General, Servicio de Cirugía Pediátrica, Hospital Universitario 12 de Octubre, Madrid. dcabezali@yahoo.es
authors.forename: D
authors.initials: D
authors.lastname: Cabezalí Barbancho
authors.forename: I
authors.initials: I
authors.lastname: Cano Novillo
authors.forename: A
authors.initials: A
authors.lastname: García Vázquez
authors.forename: M
authors.initials: M
authors.lastname: López Díaz
authors.forename: R
authors.initials: R
authors.lastname: Tejedor Sánchez
authors.forename: M
authors.initials: M
authors.lastname: Benavent Gordo
mesh_terms: 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