title: Experience with a new 3-mm laparoscope in complex neonatal minimally invasive surgery: a preliminary report.
abstract: Neonatal minimally invasive surgery requires small, light-weight instruments and excellent image quality to be performed safely and efficiently. We performed laboratory studies comparing the image quality of a new 3-mm 14-cm telescope with a 5-mm 25-cm telescope with identical viewing angles and found they were very similar. We employed the new 3-mm telescope exclusively in endosurgical procedures on 5 infants weighing less than 4 kg and found the image quality and light intensity to be more than adequate. In addition, we found the shorter length and lighter weight easier to maneuver in the limited working space of the neonatal abdomen or hemithorax. Our experience with the new 3-mm telescope is superb for the demands of complex neonatal endosurgical procedures.
authors.affiliation: Division of Pediatric Surgery, Cedars-Sinai Medical Center, Los Angeles, California 90048, USA. Philip.Frykman@cshs.org
authors.forename: Philip K
authors.initials: PK
authors.lastname: Frykman
authors.forename: Masanobu
authors.initials: M
authors.lastname: Hagiike
authors.forename: Thomas T
authors.initials: TT
authors.lastname: Hui
authors.forename: George
authors.initials: G
authors.lastname: Berci
mesh_terms: D000818:Animals; D004195:Disease Models, Animal; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D020706:Laparoscopes; D010535:Laparoscopy; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation*; D013552:Swine; D013906:Thoracoscopy