Lugo-Vicente H L
U.P.R. School of Medicine, San Juan.
Bol Asoc Med P R. 1997 Jan-Mar;89(1-3):25-30.
An important medical technological progress of this century corresponds to the application of minimal invasive surgical techniques in adults and children. Laparoscopic surgery is causing an impact in the results of many procedures done during the pediatric age. Within this review we explore the development of laparoscopic abdominal surgery in children along with basic physiology and complications of establishing a potential working space (pneumoperitoneum). Indications, results, and where we are headed in the management of various of the most common surgical conditions of children are issues discussed. Laparoscopic surgery has proven safe, efficient, technically feasible and well tolerated in most children. Produces early return to activities, reduced hospital stay, less hospital bills, and better cosmetic results when compared to open (conventional) procedures.
本世纪一项重要的医学技术进步是微创外科技术在成人和儿童中的应用。腹腔镜手术正在对许多儿科手术的结果产生影响。在这篇综述中，我们探讨了儿童腹腔镜腹部手术的发展，以及建立潜在工作空间（气腹）的基本生理学和并发症。还讨论了儿童各种最常见外科疾病的治疗适应症、结果以及未来发展方向。与开放（传统）手术相比，腹腔镜手术已被证明在大多数儿童中是安全、高效、技术上可行且耐受性良好的。它能使患儿更早恢复活动，缩短住院时间，减少住院费用，并获得更好的美容效果。
