Il ruolo della chirurgia ad approccio mini-invasivo in età pediatrica

Translated title of the contribution: Role in mini-invasive surgery in children

G. Mattioli, E. Guida, L. Pio, R. Viacava, G. Montobbio, V. Jasonni, P. Buffa

Research output: Contribution to journalArticlepeer-review

Abstract

Aim. This paper describes our experience with minimally invasive surgery and underlines its increasingly important role in the treatment of pediatric patients. Methods. The study included all those patients undergoing a minimally invasive surgical procedure between January 2006 and March 2012. Patient demographics, type of operation (classified according to disease and anatomic site), complications, and length of hospital stay (LOS) were recorded. Results. Out of 12,596 surgeries, 1803 (14.3%) minimally invasive procedures were performed: Soave-Georgeson endorectal colon pull-through for Hirschsprung's disease (N.=82); colectomy for chronic inflammatory bowel disease (N.=37); ileal J-pouch anorectal Knight-Griffen anastomosis in colectomized patients with chronic ulcerative colitis (N.=35); Nissen fundoplication for gastroesophageal reflux disease (N.=148); cholecystectomy (N.=68); appendectomy (N.=341); laparoscopic or thoracoscopic tumor resection or biopsy (N.=90); reconstruction of the renal pelvi and ureters (N.=11); and Nuss thoracoplasty for pectus excavatum (N.=237). The median age was 3 years; the median LOS was 3 days; the complications rate was 0.9% (N.=18). Conclusion. According to our experience, minimally invasive surgery is a safe and efficacious alternative to conventional surgery (in terms of complications) also in children. It was associated with shorter LOS and improved quality of life, with less pain and better aesthetic results. It has become the preferred surgical treatment option by parents.

Translated title of the contributionRole in mini-invasive surgery in children
Original languageItalian
Pages (from-to)161-167
Number of pages7
JournalMinerva Pediatrica
Volume66
Issue number3
Publication statusPublished - 2014

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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