Minimal Access Neonatal Surgery

  • Gordon Alexander MacKinlay


Minimal access techniques—Laparoscopy, thoracoscopy and retroperitoneoscopy—have gradually been adopted in many centres undertaking paediatric surgery. In some units the approach has become commonplace but in others the skills required are developing more slowly or the necessary equipment is unavailable. Hopefully this will change as more and more paediatric surgeons learn to appreciate the benefits that endoscopic surgery provides to the young patients in their care.


Minimally invasive surgery Newborn surgery Outcomes 


  1. 1.
    Bax NMA. Endoscopic surgery in infants and children. Chapter 1. Berlin: Springer-Verlag; 2008.CrossRefGoogle Scholar
  2. 2.
    McHoney M, Eaton S, Pierro A. Metabolic response to surgery in infants and children. Eur J Pediatr Surg. 2009;19(5):275–85.CrossRefGoogle Scholar
  3. 3.
    Haynes SR, Bonner S. Review article: anaesthesia for thoracic surgery in children. Paediatr Anaesth. 2000;10:237–51.CrossRefGoogle Scholar
  4. 4.
    McHoney M, MacKinlay G, Munro F, Capek A, Aldridge L. Effect of patient weight and anesthetic technique on CO2 excretion during thoracoscopy in children assessed by end-tidal CO2. J Laparoendosc Adv Surg Tech A. 2008;18(1):147–51.CrossRefGoogle Scholar
  5. 5.
    McHoney M, Corizia L, Eaton S, Wade A, Spitz L, Drake D, et al. Laparoscopic surgery in children is associated with an intraoperative hypermetabolic response. Surg Endosc. 2006;20:452–7.CrossRefGoogle Scholar
  6. 6.
    Sugi K, Katoh T, Gohra H, Hamano K, Fujimura Y, Esato K. Progressive hyperthermia during thoracoscopic procedures in infants and children. Paediatr Anaesth. 1998;8:211–4.Google Scholar
  7. 7.
    Thoracoscopic repair of congenital diaphragmatic hernia in neonates: guidance 2011. IPG379 London: National Institute for Health and Clinical Excellence.Google Scholar
  8. 8.
    van der Zee DC, Bax NM. Laparoscopic repair of congenital diaphragmatic hernia in a 6-month-old child. Surg Endosc. 1995;9(9):1001–3.CrossRefGoogle Scholar
  9. 9.
    Becmeur F, Jamali RR, et al. Thoracoscopic treatment for delayed presentation of congenital diaphragmatic hernia in the infant. A report of three cases. Surg Endosc. 2001;15:1163–6.CrossRefGoogle Scholar
  10. 10.
    Tovar JA, Fragoso AC. Current controversies in the surgical treatment of esophageal atresia. Scand J Surg. 2011;100:273–8.CrossRefGoogle Scholar
  11. 11.
    Lobe TE, Rothenberg SS, Waldschmitt J, et al. Thoracoscopic repair of esophageal atresia in an infant: a surgical first. Pediatr Endosurg Innov Tech. 1999;3:141–8.CrossRefGoogle Scholar
  12. 12.
    Rothenberg SS. Thoracoscopic repair of a tracheoesophageal fistula in a newborn infant. Pediatr Endosurg Innov Tech. 2000;4:289–94.CrossRefGoogle Scholar
  13. 13.
    MacKinlay GA. Esophageal atresia surgery in the 21st century. Semin Pediatr Surg. 2009;18(1):20–2.CrossRefGoogle Scholar
  14. 14.
    MacKinlay GA, Burtles R. Oesophageal atresia, paralysis and ventilation in management of the wide gap. Paed Surg Int. 1987;2:10–2.CrossRefGoogle Scholar
  15. 15.
    Schaarschmidt K, Kolberg-Schwerdt A, et al. A technique for thoracoscopic aortopericardiosternopexy. Surg Endosc. 2002;16:1639.CrossRefGoogle Scholar
  16. 16.
    Colon N, Schlegel C, et al. Congenital lung anomalies: can we postpone resection? J Pediatr Surg. 2012;47:87–92.CrossRefGoogle Scholar
  17. 17.
    Albanese CT, Sydorak RM, KuoJen T, et al. Thoracoscopic lobectomy for prenatally diagnosed lung lesions. J Pediatr Surg. 2003;38:553–5.CrossRefGoogle Scholar
  18. 18.
    Mei-Zahav M, Konen O, Manson D, Langer JC. Is congenital lobar emphysema a surgical disease? J Pediatr Surg. 2006;41:1058–61.CrossRefGoogle Scholar
  19. 19.
    Garrett-Cox R, MacKinlay G, Munro F, Aslam A. Early experience of pediatric thoracoscopic lobectomy in the UK. J Laparoendosc Adv Surg Tech A. 2008;18(3):457–9.CrossRefGoogle Scholar
  20. 20.
    Rothenberg SS. Experience with thoracoscopic lobectomy in infants and children. J Pediatr Surg. 2003;38:102–4.CrossRefGoogle Scholar
  21. 21.
    Hall NJ, Pacilli M, Eaton S, et al. Recovery after open versus laparoscopic pyloromyotomy for pyloric stenosis: a double-blind multicentre randomized controlled trial. Lancet. 2009;373:390–8.CrossRefGoogle Scholar
  22. 22.
    Esposito C, Montupet P, Reinberg O. Laparoscopic surgery for gas—troesophageal reflux disease during the first year of life. J Pediatr Surg. 2001;36:715–7.CrossRefGoogle Scholar
  23. 23.
    Bax NM, Ure BM, van der Zee DC. Laparoscopic duodenoduodenostomy for duodenal atresia. Surg Endosc. 2001;15:217.CrossRefGoogle Scholar
  24. 24.
    Kay S, Yoder S, Rothenberg S. Laparoscopic duodenoduodenostomy in the neonate. J Pediatr Surg. 2009;44:906–8.CrossRefGoogle Scholar
  25. 25.
    Spilde TL, St Peter SD, Keckler SJ, et al. Open vs laparoscopic repair of congenital duodenal obstructions: a concurrent series. J Pediatr Surg. 2008;43:1002–5.CrossRefGoogle Scholar
  26. 26.
    van Der Zee DC. Laparoscopic repair of duodenal atresia: revisited. World J Surg. 2011;35:1781–4.CrossRefGoogle Scholar
  27. 27.
    van der Zee DC, Bax NM. Laparoscopic treatment of intestinal malrotation in children. Surg Endosc. 1998;12:1314–6.CrossRefGoogle Scholar
  28. 28.
    Adikibi BT, Strachan CL, MacKinlay GA. Neonatal laparoscopic Ladd’s procedure can safely be performed even if the bowel shows signs of ischemia. J Laparoendosc Adv Surg Tech A. 2009;19(Supp 1):S167–70.CrossRefGoogle Scholar
  29. 29.
    Lima M, Ruggeri G, Domini M, et al. Evolution of the surgical management of bowel atresia in newborn: laparoscopically assisted treatment. Pediatr Med Chir. 2009;31(5):215–9.Google Scholar
  30. 30.
    Kurobe M, Kanai M, et al. Laparoscopic-assisted surgery for congenital jejunal stenosis in an infant. J Laparoendosc Adv Surg Tech. 2004;8:272–4.Google Scholar
  31. 31.
    Georgeson KE, Fuenfer MM, Hardin WD, Holcomb G. Primary laparoscopic pull-through for Hirschsprung’s disease in infants and children. J Pediatr Surg. 1995;30:1017–22.CrossRefGoogle Scholar
  32. 32.
    Langer JC. Laparoscopic and transanal pull-through for Hirschsprung disease. Semin Pediatr Surg. 2012;21(4):283–90.CrossRefGoogle Scholar
  33. 33.
    Georgeson KE, Inge TH, Albanese CT. Laparoscopically assisted anorectal pull-through for high imperforate anus—a new technique. J Pediatr Surg. 2000;35(6):927–30.CrossRefGoogle Scholar
  34. 34.
    Vick LR, Gosche JR, Boulanger SC, Islam S. Primary laparoscopic repair of high imperforate anus in neonatal males. J Pediatr Surg. 2007;42(11):1877–81.CrossRefGoogle Scholar
  35. 35.
    Koga H, Miyano G, Takahashi T, et al. Comparison of anorectal angle and continence after Georgeson and Peña procedures for high/intermediate imperforate anus. J Pediatr Surg. 2010;45(12):2394–7.CrossRefGoogle Scholar
  36. 36.
    Clark C, MacKinlay GA. Laparoscopy as an adjunct to peritoneal drainage in perforated necrotizing enterocolitis. J Laparoendosc Adv Surg Tech A. 2006;16(4):411–3.CrossRefGoogle Scholar
  37. 37.
    Esteves E, Clemente NE, Ottaiano NM, et al. Laparoscopic Kasai portoenterostomy for biliary atresia. Pediatr Surg Int. 2002;18:737–1740.Google Scholar
  38. 38.
    Bax NMA, Georgeson K. Biliary atresia panel session. Presentation at the 16th Annual Congress of the International Pediatric Endosurgery Group (IPEG), in Buenos Aires, Argentina; 2007.Google Scholar
  39. 39.
    Ure BM, Kuebler JF, Schukfeh N, et al. Survival with the native liver after laparoscopic versus conventional Kasai portoenterostomy in infants with biliary atresia: a prospective trial. Ann Surg. 2011;253:826–30.CrossRefGoogle Scholar
  40. 40.
    Koga H, Miyano G, Takahashi T, et al. Laparoscopic portoenterostomy for uncorrectable biliary atresia using Kasai’s original technique. J Laparoendosc Adv Surg Tech A. 2011;21:291–4.CrossRefGoogle Scholar
  41. 41.
    Yamataka A, Lane GJ, Cazares J. Laparoscopic surgery for biliary atresia and choledochal cyst. Semin Pediatr Surg. 2012;21:201–10.CrossRefGoogle Scholar
  42. 42.
    Liem NT, Pham HD, Dung LA, et al. Early and intermediate outcomes of laparoscopic surgery for choledochal cysts with 400 patients. J Laparoendosc Adv Surg Tech A. 2012;21:367–70.CrossRefGoogle Scholar
  43. 43.
    Blakely ML, Lobe TE, Cohen J, et al. Laparoscopic pancreatectomy for persistent hyperinsulinemic hypoglycemia of infancy. Surg Endosc. 2001;15:897–8.Google Scholar
  44. 44.
    Bax NM, van der Zee DC, de Vroede M, et al. Laparoscopic identification and removal of focal lesions in persistent hyperinsulinemic hypoglycemia of infancy. Surg Endosc. 2003;17:833.CrossRefGoogle Scholar
  45. 45.
    Puligandla PS, Laberge JM. Lethal outcome after percutaneous aspiration of a presumed ovarian cyst in a neonate. Semin Pediatr Surg. 2009;18:119–21.CrossRefGoogle Scholar
  46. 46.
    Bailez M, Martinez FM. Endosurgical postnatal approach to fetal ovarian cysts. Pediatr Endosurg Innov Tech. 1997;2:111–6.CrossRefGoogle Scholar
  47. 47.
    Bax NMA, van der Zee DC. The laparoscopic approach to sacrococcygeal teratomas. Surg Endosc. 2004;18:128–30.CrossRefGoogle Scholar
  48. 48.
    Schier F, Montupet P, Esposito C. Laparoscopic inguinal herniorrhaphy in children: a three-center experience with 933 repairs. J Pediatr Surg. 2006;41:1999–2003.CrossRefGoogle Scholar
  49. 49.
    Yeung CK, Lee KH. Inguinal herniotomy: laparoscopic assisted extraperitoneal technique. Endoscopic surgery in infants and children. Chapter 78. Springer-Verlag; 2008.Google Scholar

Copyright information

© Springer-Verlag London Ltd., part of Springer Nature 2018

Authors and Affiliations

  1. 1.University of EdinburghEdinburghUK
  2. 2.The Royal Hospital for Sick ChildrenEdinburghUK

Personalised recommendations