Laparoscopic approach for children with inflammatory bowel diseases

Abstract

Laparoscopy proved to be feasible, safe and effective for the treatment of IBD in children. Although we observed a relatively low incidence of complications, stoma site adhesions still remain the major issue, which can be effectively dealt with laparoscopically. Functional outcome as well as cosmesis is satisfactory. As results are encouraging, at present we prefer laparoscopy for the surgical treatment of IBD in pediatric patients.

Technical considerations in children undergoing laparoscopic ileal-J-pouch anorectal anastomosis for ulcerative colitis

“…Postoperative analgesia was administered either via an epidural catheter or an elastomeric pump to provide adequate pain control [2].…”

“…Restorative proctocolectomy is the treatment of choice in children with ulcerative colitis (UC) whose symptoms cannot be controlled with medical therapy [1][2][3][4][5][6]. The main type of reconstruction after colectomy can be broadly divided into the straight ileo-anal anastomosis (SIAA) and the creation of a reservoir from an ileal pouch.…”

“…In addition, the hospital stay after laparoscopic colorectal surgery is shorter than after open surgery, and generally ranges from 4 to 8 days. The disadvantages of the laparoscopic approach are longer operative time, more expensive operating room costs, and a significant learning curve for the surgeon [2,[14][15][16][17][18][19][20].…”

Laparoscopic Surgeries in Pediatric Abdominal Surgical Emergencies

“…Так, благодаря зарубежному опыту, в период с 2002 по 2015 г. стало известно о применении однопортового доступа и робот-ассистированной хирургии [47][48][49][50][51][52][53][54].…”

“…Таким методом выполняли холецист-и аппендэктомию у взрослых в 2008 и 2009 гг. [47][48][49][50]. Вскоре после успе-ха однопортовых операций эти процедуры были пред-приняты и у детей [47,51,52], а в 2010 г. O. Muensterer и колл.…”