Anesthesia in Pediatric Minimally Invasive Surgery

  • Giuseppe Cortese
  • Costanza TognonEmail author
  • Giuseppe Servillo
  • Piergiorgio GambaEmail author


Minimally invasive surgery (MIS) may be selected for its speed, efficacy, and security. A minimally invasive approach improves surgical times, reduces the postoperative course, and guarantees a less traumatic recovery for a young patient. The continuing developments in pediatric minimally invasive surgery represent a great challenge for anesthesiologists, who must have the necessary competence to cope with relatively new surgical situations [1]. The pneumoperitoneum produces important changes in cardiovascular and respiratory balance that must be recognized and managed. In addition, pediatric video-assisted thoracoscopic surgery has major physiological derangements that must be understood to correctly perform a procedure; technical skills and familiarity with airway control and single lung ventilation are also required [2]. This chapter focuses on these issues in the pediatric patient, especially in infants and small children whose reactions to thoracic and laparoscopic surgery are unique.



Sincere thanks to Dr. Marta Iannazzone for her important contribution.

I sincerely thank Dr. Franca Giusti who has been and will always be my Mentor in Pediatric Anesthesia and a Teacher of life.

Conflict of interest: The authors have not conflicts of interest to declare.


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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Departments of Nephrology, Urology, General Surgery, Kidney Transplantation, Anesthesia, and Intensive Care, Azienda OspedalieraUniversity of Naples “Federico II”NaplesItaly
  2. 2.Department of Anesthesia, Azienda OspedalieraUniversity of PaduaPaduaItaly
  3. 3.Department of Woman’s and Child’s Health, Azienda OspedalieraUniversity of PaduaPaduaItaly
  4. 4.Pediatric Surgery, Department of Woman’s and Child’s Health, Azienda OspedalieraUniversity of PaduaPaduaItaly

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