Advances and Trends in Pediatric Minimally Invasive Surgery.
Advances and Trends in Pediatric Minimally Invasive Surgery.
复制标题
儿科微创外科的进展和趋势。
DOI：
10.3390/jcm9123999
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发表时间：
2020-12-10
影响因子：
3.9
通讯作者：
Bergholz R
中科院分区：
文献类型：
--
作者：
Meinzer A;Alkatout I;Krebs TF;Baastrup J;Reischig K;Meiksans R;Bergholz R
由于在文献中可以找到许多比较儿科微创手术和开放手术的荟萃分析，本文的目的是总结儿科微创外科的现状，并特别关注我们在未来几年预期的趋势和发展。系统地在印刷品和电子数据库中搜索特定的关键词，并增加了与文献中的参考文献相关联的搜索。获得全文文章，并独立应用合格标准。儿科微创手术是一个广泛的领域，从新生儿的微创胎儿手术到青少年的机器人手术。新的技术和设备，如自然开口腔内内窥镜手术(NOTES)、单切口和内窥镜手术，以及人工子宫作为早产儿手术的后备，都有助于开发针对儿童的侵入性较小的手术。尽管所有有希望的技术发展肯定会在未来几年改变儿科外科医生进行微创手术的方式，但必须记住的是，只有前瞻性随机对照和双盲试验的硬数据才能验证这些技术和设备是否真的改善了我们患者的手术结果。
As many meta-analyses comparing pediatric minimally invasive to open surgery can be found in the literature, the aim of this review is to summarize the current state of minimally invasive pediatric surgery and specifically focus on the trends and developments which we expect in the upcoming years. Print and electronic databases were systematically searched for specific keywords, and cross-link searches with references found in the literature were added. Full-text articles were obtained, and eligibility criteria were applied independently. Pediatric minimally invasive surgery is a wide field, ranging from minimally invasive fetal surgery over microlaparoscopy in newborns to robotic surgery in adolescents. New techniques and devices, like natural orifice transluminal endoscopic surgery (NOTES), single-incision and endoscopic surgery, as well as the artificial uterus as a backup for surgery in preterm fetuses, all contribute to the development of less invasive procedures for children. In spite of all promising technical developments which will definitely change the way pediatric surgeons will perform minimally invasive procedures in the upcoming years, one must bear in mind that only hard data of prospective randomized controlled and double-blind trials can validate whether these techniques and devices really improve the surgical outcome of our patients.
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作者：
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通讯作者：
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