Advances in pediatric surgery

J. Bueno, J. L. Peiró, G. Guillén, J. A. Molino, A. Laín, G. Royo, J. Broto, R. Gadner, C. Giné, J. A. Martín, M. Asensio, M. Ezzedine, J. Lloret

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Resum

The evolution of Pediatric Surgery has run in parallel with Pediatrics. The advancements in radiological diagnosis, intensive care, anesthesia, and in the field of infections among others has allow to pediatric surgeons the performance of more aggressive and complex surgical interventions. The knowledge about the biological behavior and genetics of the pediatric tumors as well as the introduction of new multimodal treatments has improved enormously the prognosis of oncologist children. The development of minimally invasive surgery by manufacturing surgical instruments adapted to children size has expanded its indications including neonates. Currently, these techniques (thoracoscopy, laparoscopy and endoscopy) are regular tools used in a daily base and have taken over to conventional surgery in a high number of the cases. Advantages are a more comfortable postoperative course, esthetical advantages and its cost-effectiveness. In the same way, robotic surgery is a new instrument that can increase the skill of surgeons, decreasing the difficulties and complications of laparoscopy. Its application in children is a new field in development that will mark the future of pediatric surgery as has occurred with laparoscopy. Finally, fetal surgery is not anymore a fiction, it is a reality. The translational medicine from the lab to the clinical application is crucial in its development.
Idioma originalAnglès
Pàgines (de-a)277-285
RevistaRevista Espanola de Pediatria
Volum69
Número6
Estat de la publicacióPublicada - 1 de nov. 2013

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