Neonatal Surgical Education in Minimally Invasive Surgery Based on Simulation

  • Maximiliano Maricic
  • María Marcela Bailez


Neonatal minimally invasive surgery (NMIS) requires a high level of training in both neonatal and MIS disciplines. It requires a progressive goal-oriented curricula content specific to each surgical neonatal pathology. Evaluation of the theoretical and practical contents at each stage of training is mandatory. Surgical skills training has been classically done in the operating room under the supervision of the senior surgeon and in animal models, when available. The difficult learning curve combined with the few cases per year for each surgeon is a critical factor against the spread of these procedures that are feasible and effective in experts’ hands.


  1. 1.
    Azzie G, et al. Development and validation of a pediatric laparoscopic surgery simulator. J Pediatr Surg. 2011;46:897–903.CrossRefGoogle Scholar
  2. 2.
    Maricic MA, Bailez MM, Rodriguez SP. Validation of an inanimate low cost model for training minimal invasive surgery (MIS) of esophageal atresia with tracheoesophageal fistula (AE/TEF) repair. J Pediatr Surg. 2016;51:1429–35.CrossRefGoogle Scholar
  3. 3.
    Bailez MM, Maricic M, Aguilar JJ, Flores P, Losada P, Debbag R, Schiavo P. Low-cost simulation model for training MIS repair of duodenal atresia combined with telementoring technology: initial assessment. J Laparoendosc Adv Surg Tech B, Videosc. Published online Dec 2016.
  4. 4.
    Maricic MA, Bailez MM. Inanimate model to train for the thoracoscopic repair of all varieties of left congenital diaphragmatic hernia (CDH). Epublication 2018;18(7).
  5. 5.
    Heinrich M, Tillo N, Kirlum H-J, et al. Comparison of different training models for laparoscopic surgery in neonates and small infants. Surg Endosc. 2006;20:641.CrossRefGoogle Scholar
  6. 6.
    Barsness KA, Rooney DM, Davis LM. Collaboration in simulation: the development and initial validation of a novel thoracoscopic neonatal simulator. J Pediatr Surg. 2013;48(6):1232–8.CrossRefGoogle Scholar
  7. 7.
    Barsness KA, Rooney DM, Davis LM, Chin AC. Validation of measures from a thoracoscopic esophageal atresia/tracheoesophageal fistula repair simulator. J Pediatr Surg. 2014;49(1):29–32; discussion 32–3.CrossRefGoogle Scholar
  8. 8.
    Fahy AS, Fok K-H, Gavrilovic B, Farcas M, Carrillo B, Gerstle JT, Azzie G. Refinement in the analysis of motion within low-cost laparoscopic simulators of differing size: implications on assessing technical skills. J Pediatr Surg. 2018.

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Maximiliano Maricic
    • 1
    • 2
  • María Marcela Bailez
    • 2
  1. 1.Pedro de Elizalde Children’s HospitalBuenos AiresArgentina
  2. 2.Garrahan Children’s Hospital—Surgical Simulation Center, CeSimBuenos AiresArgentina

Personalised recommendations