title: The scope of minimally invasive pediatric surgery (MIPS) and its influence on reduced length of hospitalization.
abstract: Minimally invasive pediatric surgery (MIPS) is a new dimension in pediatric surgery. The scope of methods replacing large operations in children by smaller endo- or laparoscopic interventions is presented.Electromagnetic double-segmental elongation has achieved auto anastomosis in 16 out of 22 children with long gap esophageal atresias since 1975. A new radial laser-applicator with entirely lateral radiation has led to a method for endoscopic occlusion of esophagotracheal and other fistulas with a 100% success rate in a minipig-model. Our experience with 54 laparoscopic interventions including large bowel resections, hiatus hernia, and a new technique for pyloromyotomy documents that laparoscopy halves hospitalisation-periods and may well become the most rapidly growing branch of pediatric surgery.
authors.affiliation: Hospital for Pediatric Surgery, Münster University, FRG.
authors.forename: K
authors.initials: K
authors.lastname: Schaarschmidt
authors.affiliation: Dep. of Pediatric Surgery, University of Gent, Belgium.
authors.forename: P
authors.initials: P
authors.lastname: Pattyn
authors.affiliation: Hospital for Pediatric Surgery, Münster University, FRG.
authors.forename: J
authors.initials: J
authors.lastname: Schleef
authors.affiliation: Dep. of Pediatric Surgery, University of Gent, Belgium.
authors.forename: I
authors.initials: I
authors.lastname: Kerremanns
authors.affiliation: Anatomical Institute, Münster University, FRG.
authors.forename: U
authors.initials: U
authors.lastname: Stratmann
authors.affiliation: Hospital for Pediatric Surgery, Münster University, FRG.
authors.forename: G H
authors.initials: GH
authors.lastname: Willital
keywords: Esophageal atresia; Laser; Surgery; minimally invasive; pediatric