Paediatric thoracoscopic surgery.
Thoracoscopic surgery is now an integral part of paediatric practice. The evolution of instrumentation, optics and haemostatic devices have enabled even the most complex procedures to be carried out thoracoscopically. Although randomised studies are limited in children, thoracoscopic surgery appears to offer outcomes at least equivalent to that of open operations with less post-operative pain, less scarring and a more rapid recovery. Furthermore many of the long term musculo-skeletal deformities associated with a thoracotomy are avoided. There are however several surgical and anaesthetic challenges that make the widespread application of these techniques beyond that of specialised centres difficult.
Department of Paediatric Surgery, The Children's Hospital at Westmead, University of Sydney, Locked Bag 4001, Westmead 2145, Sydney, NSW, Australia. Jonathan.karpelowsky@health.nsw.gov.au
Jonathan
J
Karpelowsky
D000367:Age Factors; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007223:Infant; D018579:Patient Selection; D013906:Thoracoscopy