Laparoscopyin The Child Specific Issues

Craig A. Peters

Department of Urology, Children's Hospital, Harvard Medical School, Boston, Massachusetts, U.S.A.

INDICATIONS

MANIPULATION PRINCIPLES

ONCOLOGY

RETROPERITONEAL ACCESS

PATIENT PREPARATION

PHYSIOLOGY AND ANESTHETIC

PORT POSITIONING AND SETUP

CONSIDERATIONS

CANNULAE

COMPLICATIONS

HAND INSTRUMENTS

Ventriculoperitoneal Shunts

ACCESS

SURGICAL COMPLICATIONS

Veress Access

POSTOPERATIVE COURSE

Open Access

SUMMARY

Port Site Handling

REFERENCES

The distinction between adult and pediatric urologic laparoscopy begins with divergent indications, reflecting the different patterns of urologic disease between adults and children. The need for laparoscopic procedures in pediatric urologic practice is different from adults, with some elements of overlap.

As the potential for reconstructive pediatric laparoscopy has emerged, it has been evident that the dispersion of laparoscopic skills into complex reconstruction by pediatric urologists has been limited.

The ability to gain sufficient case numbers to become expert at complex laparoscopy in a reasonable period of time will be difficult and the collaboration of adult and pediatric surgeons will be important to permit development of these skills in the pediatric realm.

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