[Minimally invasive pediatric surgery].
In recent years minimally invasive surgical techniques in children have made substantial progress. The feasibility and safety of a wide spectrum of laparoscopic and thoracoscopic procedures have been confirmed in numerous studies. Moreover, it was reported that minimally invasive pediatric surgery is associated with lower morbidity, a shorter hospital stay, lower costs, better cosmetics and clinical results similar to those achieved by open surgery. The present article reviews information on established as well as feasible but not yet established surgical procedures. The discussion of potential hemodynamic, respiratory and organ perfusion effects of the CO(2) pneumoperitoneum and the notation of special logistic aspects should support the reader in the process of decision-making to schedule infants and children for minimally invasive surgery.
Metzelder
M L
ML
Klinik für Kinderchirurgie, Medizinische Hochschule, Hannover, Deutschland. Metzelder.martin@mh-hannover.de
Ure
B M
BM
D002648:Child; D002675:Child, Preschool; D004502:Education, Medical, Continuing; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D010535:Laparoscopy / Q000379:methods*; D019060:Minimally Invasive Surgical Procedures / Q000193:education* / Q000295:instrumentation / Q000379:methods; D010372:Pediatrics / Q000193:education*; D011028:Pneumoperitoneum, Artificial; D013523:Surgical Equipment; D013906:Thoracoscopy / Q000379:methods*