Department of Anaesthesia and Intensive care, Robert Debré University Hospital, 48, boulevard Sérurier, 75019 Paris, France; Paris-Diderot, Paris VII University, Paris Sorbonne Cité, 75013 Paris, France.
Department of Urological and General Surgery, Robert Debré University Hospital, 75019 Paris, France; Paris-Diderot, Paris VII University, Paris Sorbonne Cité, 75013 Paris, France.
Anaesth Crit Care Pain Med. 2018 Oct;37(5):453-457. doi: 10.1016/j.accpm.2017.11.013. Epub 2017 Dec 9.
Minimally invasive surgery during abdominal, thoracic and urological procedures has become the standard management of many surgical interventions in adults. Recent development of smaller devices has allowed the management of many paediatric surgeries using these minimally invasive techniques. However, the lack of knowledge of (a) adequate management of haemodynamic and respiratory alterations occurring during those procedures and (b) postoperative advantages of these techniques over open surgeries, still impairs their development. The current review aimed to clarify mechanisms of those haemodynamic and respiratory alterations, propose easy rules in order to overcome them and shed the light on potential postoperative advantages of minimally invasive surgery in paediatrics.
微创技术在腹部、胸部和泌尿科手术中的应用已经成为许多成人外科手术的标准治疗方法。最近，更小的设备的发展使得许多儿科手术也可以采用这些微创技术进行治疗。然而，由于缺乏对以下两方面的了解：(a) 术中发生的血流动力学和呼吸变化的适当处理；以及 (b) 与开放手术相比，这些技术的术后优势，仍阻碍了微创技术的发展。本综述旨在阐明这些血流动力学和呼吸变化的机制，提出克服这些变化的简单规则，并阐明微创技术在儿科领域的潜在术后优势。
