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Current Anesthesiology Reports

, Volume 9, Issue 3, pp 326–332 | Cite as

Laparoscopic Surgery in Pediatrics

  • André L. JaichencoEmail author
  • Enzo L. Crivelli
  • Gonzalo G. Castellani
  • Valeria J. Damiani
  • Maria L. Sanchez
  • Carlina Victorica
  • Noeli Tinti
Pediatric Anesthesia (J Lerman, Section Editor)
  • 40 Downloads
Part of the following topical collections:
  1. Pediatric Anesthesia

Abstract

Purpose of Review

The motivation of this review is to deepen our understanding of the physiological changes that occur during laparoscopic surgery in pediatric patients in order to detect possible complications in time to intervene and to provide the most appropriate monitoring.

Recent Findings

Laparoscopic surgery has evolved rapidly in recent years and is considered a standard procedure in pediatric surgery. This surgical technique includes the use of pneumoperitoneum which, when combined with extreme positions (e.g., steep Trendelenburg) leads to hemodynamic, respiratory, and neuroendocrine changes, among others, which are more evident in neonates, infants, and severely ill children. During laparoscopic procedures in children, adaptive changes are observed. There are studies that focus on the relationship between laparoscopic surgery and regional oxygen saturation (rSO2). Cerebral oximetry with near-infrared spectroscopy (NIRS) could be useful for detecting cerebral oxygenation changes in time.

Summary

During laparoscopic surgery, substantive physiological changes occur. The pediatric population, especially neonates, is more sensitive to these changes than adults and may suffer sequelae as a result. Thus, we recommend further research to understand the usefulness of the specific intraoperative monitoring to prevent these sequelae.

Keywords

Anesthesia Laparoscopy Children Infants Neonates Hemodynamic changes Carbon dioxide rSo2 NIRS Pneumoperitoneum Complications 

Notes

Acknowledgments

The authors thank Garrahan Hospital, its authorities, and the anesthesia service for permitting the development of this article. They also thank the surgery service and department of statistics for their contribution to this review.

Compliance With Ethical Standards

Conflict of Interest

André L. Jaichenco, Enzo L. Crivelli, Gonzalo G. Castellani, Valeria J. Damiani, Maria L. Sanchez, Carlina Victorica, and Noeli Tinti declare they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • André L. Jaichenco
    • 1
    • 2
    Email author
  • Enzo L. Crivelli
    • 2
  • Gonzalo G. Castellani
    • 1
    • 2
  • Valeria J. Damiani
    • 2
  • Maria L. Sanchez
    • 1
    • 2
  • Carlina Victorica
    • 2
  • Noeli Tinti
    • 3
  1. 1.National Pediatric Hospital, Garrahan HospitalUniversity of Buenos AiresBuenos AiresArgentina
  2. 2.Buenos AiresArgentina
  3. 3.ChinchinalesArgentina

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