Laparoscopy in childhood – appendectomy, spleen preserving surgery, hepatobiliary surgery
Authors:
J. Babala; R. Pechanová; P. Zahradnikova; I. Béder
Authors‘ workplace:
Klinika detskej chirurgie LFUK a Núdch, Bratislava
Published in:
Čes-slov Pediat 2018; 73 (8): 480-485.
Category:
Overview
Objective:
The aim of this article is to inform about certain existing laparoscopic procedures in children and to focus on the benefit as well as eventual challenges and limitations especially in very small children.
Methods:
We have evaluated laparoscopic surgeries similar to those in adults that are performed more frequently and are more available: appendectomy and cholecystectomy and specific less frequent surgeries based on the congenital developmental defects: biliary atresia and choledochal cysts. The spleen-preserving resection describes the preservation of an organ by using an innovative method.
Results:
The results indicate that it is easier to make recommendations for surgical procedures performed more frequently (531 patients with appendectomy and 75 patients with cholecystectomy) and sometimes there are no clear-cut indication criteria for surgical procedures performed less frequently despite the summary of multicentre studies (22 patients having surgery for the suspected biliary atresia and 4 patients having surgery for the cystic malformation of the bile duct).
Conclusion:
Minimally invasive surgical procedures in the smallest children exclusive due to their low frequency require centralization and multidisciplinary collaboration. The literary data indicate that it will not be easy to make the general guidelines for the selected surgical procedure.
KEY WORDS:
laparoscopy in childhood, appendectomy, cholecystectomy, spleen sparing surgery, hepatobiliary surgery
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Labels
Neonatology Paediatrics General practitioner for children and adolescentsArticle was published in
Czech-Slovak Pediatrics
2018 Issue 8
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