Abstract
The field of pediatric surgery has undergone numerous changes throughout the past few years. When laparoscopic surgery was introduced, pediatric surgeons were reluctant to change their practice because many of the instruments were not appropriate for their tiny patients. Shortly thereafter, the development of pediatric laparoscopic surgery was followed quickly by advanced pediatric laparoscopy, which has allowed pediatric surgeons to repair esophageal atresia and pyloric stenosis through the smallest of incisions. The future direction of minimally invasive pediatric surgery involves single-incision laparoscopic surgery, natural orifice transluminal endoscopic surgery, and robotic surgery. This article reviews the recent advances in minimally invasive pediatric surgery, and the direction we foresee for the field.
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Papers of particular interest, published recently, have been highlighted as: • Of importance
Ure BM, Bax NM, van der Zee DC: Laparoscopy in infants and children: a prospective study on feasibility and the impact on routine surgery. J Pediatr Surg 2000, 35:1170–1173.
Lam TY, Lee SW, So HS, Kwok SP: Radially expanding trocar: a less painful alternative for laparoscopic surgery. J Laparoendosc Adv Surg Tech A 2000, 10:269–273.
Kalfa N, Allal H, Raux O, et al.: Tolerance of laparoscopy and thoracoscopy in neonates. Pediatrics 2005, 116:e785–791.
Fujimoto T, Segawa O, Lane GJ, et al.: Laparoscopic surgery in newborn infants. Surg Endosc 1999, 13:773–777.
• Ponsky TA, Rothenberg SS: Minimally invasive surgery in infants less than 5 kg: experience of 649 cases. Surg Endosc 2008, 22:2214–2219. This paper describes the feasibility of laparoscopic surgery in small neonates. With technology available currently, we are operating on children weighing as little as 2 kg.
Bufo AJ, Merry C, Shah R, et al.: Laparoscopic pyloromyotomy: a safer technique. Pediatr Surg Int 1998, 13:240–242.
• Juan ES, Holly LN: Laparoscopic vs open pyloromyotomy: a systematic review and meta-analysis. J Pediatr Surg 2009, 44:1631–1637. This article is an excellent review comparing laparoscopic to open pyloromyotomy.
Holcomb GW 3rd, Rothenberg SS, Bax KM, et al.: Thoracoscopic repair of esophageal atresia and tracheoesophageal fistula: a multi-institutional analysis. Ann Surg 2005, 242:422–428; discussion 428–430.
Franklin ME, Jaramillo EJ, Glass JL, et al.: Needlescopic cholecystectomy: lessons learned in 10 years of experience. JSLS 2006, 10:43–46.
Lee KW, Poon CM, Leung KF, et al.: Two-port needlescopic cholecystectomy: prospective study of 100 cases. Hong Kong Med J 2005, 11:30–35.
Tagaya N, Rokkaku K, Kubota K: Needlescopic cholecystectomy versus needlescope-assisted laparoscopic cholecystectomy. Surg Laparosc Endosc Percutan Tech 2007, 17:375–379.
• Ponsky TA, Diluciano J, Chwals W, et al.: Early experience with single-port laparoscopic surgery in children. J Laparoendosc Adv Surg Tech A 2009, 19:551–553. This paper provides a good review of the feasability of single incision laparoscopic surgery in children, and the potential operations that can now be performed in the manner.
Albassam AA, Mallick MS, Gado A, Shoukry M: Nissen fundoplication, robotic-assisted versus laparoscopic procedure: a comparative study in children. Eur J Pediatr Surg 2009, 19:316–319.
Velhote MC, Velhote CE: A NOTES modification of the transanal pull-through. J Laparoendosc Adv Surg Tech A 2009, 19:255–257.
Disclosure
Dr. Ponsky has received teaching honoraria from Covidien, Storz, and Stryker. No other potential conflict of interest relevant to this article was reported.
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Blatnik, J.A., Ponsky, T.A. Advances in Minimally Invasive Surgery in Pediatrics. Curr Gastroenterol Rep 12, 211–214 (2010). https://doi.org/10.1007/s11894-010-0109-0
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DOI: https://doi.org/10.1007/s11894-010-0109-0