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Minimally-invasive pediatric surgery in 2004: a survey including 50 German institutions.
- Source :
- Journal of Pediatric Surgery; Sep2007, Vol. 42 Issue 9, p1491-1494, 4p
- Publication Year :
- 2007
-
Abstract
- Abstract: Background: A survey on the practice of laparoscopic and thoracoscopic surgery in pediatric surgical departments in Germany is presented. Materials and methods: A questionnaire was sent to all 71 pediatric surgical departments in Germany (population 82 million). Fifty institutions (70%) took part in the survey that mainly included data for the year 2004: spectrum of minimally invasive operations, quantity of procedures, conversions, major complications, number of performing surgeons and residents. Results: Laparoscopic techniques were used in 48 departments (96%) and thoracoscopic techniques in 37 (74%). The annual frequency of laparoscopies was less than 100 in 30 departments (62%) and more than 100 in 15 (31%). The number of thoracoscopies was less than 50 in 35 departments (73%) and more than 50 in 2 (4%). Appendectomy was offered in 45 (90%), varicocelectomy in 32 (64%), and Fowler-Stephens operation in 33 (66%). Twenty-one departments (42%) covered more advanced procedures such as laparoscopically assisted pull-through for Hirschsprung disease. Most demanding procedures such as laparoscopic choledochal cyst resection, duodeno-duodenostomy, heminephrectomy, or pyeloplasty were offered by 10 departments (20%). Minimally invasive surgery was performed by 1 surgeon (12%) in 6 institutions and by more than 5 surgeons (14%) in 7 institutions. Conclusion: Minimally invasive techniques are increasingly accepted in most German pediatric surgical institutions for a wide range of indications. However, the number of departments offering major minimally invasive procedures remains limited. [Copyright &y& Elsevier]
- Subjects :
- PEDIATRIC surgery
LAPAROSCOPIC surgery
CHEST endoscopic surgery
Subjects
Details
- Language :
- English
- ISSN :
- 00223468
- Volume :
- 42
- Issue :
- 9
- Database :
- Supplemental Index
- Journal :
- Journal of Pediatric Surgery
- Publication Type :
- Academic Journal
- Accession number :
- 26491822
- Full Text :
- https://doi.org/10.1016/j.jpedsurg.2007.04.014