Minimally invasive pediatric surgery: Our experience

oleh: Saravanan K, Kumaran V, Rajamani G, Kannan S, Mohan N, Nataraj M, Rangarajan R

Format: Article
Diterbitkan: Wolters Kluwer Medknow Publications 2008-01-01

Deskripsi

<b>Aim:</b> Departmental survey of the pediatric laparoscopic and thoracoscopic procedures. <b> Materials and Methods:</b> It is a retrospective study from January 1999 to December 2007. The various types of surgeries, number of patients, complications and conversions of laparoscopic and thoracoscopic procedures were analyzed. <b> Results:</b> The number of minimally invasive procedures that had been performed over the past 9 years is 734, out of which thoracoscopic procedures alone were 48. The majority of the surgeries were appendicectomy (31&#x0025;), orchiopexy (19&#x0025;) and diagnostic laparoscopy (16&#x0025;). The other advanced procedures include laparoscopic-assisted anorectoplasty, surgery for Hirschprung&#x2032;s disease, thoracosocpic decortication, congenital diaphragmatic hernia repair, nephrectomy, fundoplication, etc. Our complications are postoperative fever, bleeding, bile leak following choledochal cyst excision and pneumothorax following bronchogenic cyst excision. A case of empyema thorax following thoracoscopic decortication succumbed due to disseminated tuberculosis. Our conversion rate was around 5&#x0025; in the years 1999 to 2001, which has come down to 3&#x0025; over the past few years. Conversions were for sliding hiatus hernia, nephrectomy, perforated adherent appendicitis, Meckel&#x2032;s diverticulum, thoracoscopic decortication and ileal perforation. <b> Conclusion:</b> The minimally invasive pediatric surgical technique is increasingly accepted world wide and the need for laparoscopic training has become essential in every teaching hospital. It has a lot of advantages, such as less pain, early return to school and scarlessness. Our conversion rate has come down from 5&#x0025; to 3&#x0025; with experience and now we do more advanced procedures with a lower complication rate.