title: Paediatric thoracoscopy: state of the art.
abstract: Brad Rogers reported the first significant use of thoracoscopy in children in the late 1970s. Over the past two decades there has been an exponential growth and expansion of this technique. Many advanced procedures, including lobectomy, repair of tracheo-esophageal fistula, excision of mediastinal tumours and diaphragmatic hernia repairs, are being done routinely in pediatric surgery centres around the world. This article reviews the state of the art of thoracoscopic surgery in children. The author selected five procedures which in his opinion are most relevant for this discussion. The thoracoscopic technique seems to offer a favourable alternative to open surgery, but more clinical research is necessary to confirm the benefits of minimal access surgery.
authors.affiliation: Division of Paediatrics Surgery, Department of Surgery, University of Pretoria. Wits.mlvanniekerk@axxess.co.za
authors.forename: M L
authors.initials: ML
authors.lastname: Van Niekerk
mesh_terms: D001707:Biopsy, Needle / Q000379:methods; D002648:Child; D006548:Hernia, Diaphragmatic / Q000601:surgery; D006801:Humans; D008168:Lung / Q000473:pathology; D008476:Mediastinal Cyst / Q000601:surgery; D008479:Mediastinal Neoplasms / Q000601:surgery; D012140:Respiratory Tract Diseases / Q000601:surgery*; D013906:Thoracoscopy / Q000379:methods*; D014138:Tracheoesophageal Fistula / Q000601:surgery