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Paediatric minimally invasive abdominal and urological surgeries: Current trends and perioperative management.

M. Bellon,A. Skhiri,F. Julien-Marsollier,S. Malbezin,D. Thierno,J. Hilly,A. El-Ghoneimi,A. Bonnard,D. Michelet,S. Dahmani

Published 2017 in Anaesthesia Critical Care & Pain Medicine

ABSTRACT

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.

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