EN
TÜRKÇE
Poster - 8
Minimal invasive surgery in children, where do we stand?
N Alomari
Senior Consultant Pediatric Surgeon Pediatric Urology & Transplant QRH /RMS & private sector Amman -Jordan
Objectives: Minimally invasive surgery has grown up in general pediatric surgery & pediatric urology. We present our experience in 1600 cases, feasibility, safety, cost effectiveness and complications.
Methods: Data for all patients who underwent general pediatric laparoscopic procedures and laparoscopic urology by one team at Queen Rania Hospital for Children / Royal Medical Services and private sector between April 2008 – April 2018 were collected and analyzed. Indications for surgery, hospital stay, cost, complications and outcome were evaluated.
Results: Patients included were 1600, 1000 males, 600 females). Median age 3.8 years. Gastro-intestinal laparoscopic surgery performed over 400 patients. Laparoscopic urology procedures performed over 800 patients. Hepato-biliary, pancreatic and splenic laparoscopic procedures performed over 175 patients. Miscellaneous laparoscopic & thoracoscopic procedures performed over 225 patients. There were no major complications and no mortality. Patients spend fewer days in hospital with less cost. The majority of patients and parents were satisfied by the functional and cosmetic results.
Conclusion: Pediatric minimally invasive surgery is feasible, safe, and cost effective with minor complications if practice in specialized centers. We recommend that pediatric laparoscopic surgery and laparoscopic urology must be carefully practice in major centers under supervision of expert surgeons with high skills in both general pediatric surgery & pediatric urology and should be the future surgery whenever applicable.