Abstract
The article presents a literature review of pediatric abdominal surgical emergencies in the Russian Federation. The article considers the issues of the development of laparoscopic surgery in pediatrics, the current state of this problem in surgical hospitals, the difficulties associated with transition to minimally invasive surgical interventions, in providing emergency surgical care for children. The possible risks of laparoscopic access and methods for their reduction were analyzed. The advantages of this technique were specified in comparison with open surgical interventions. The reliable economic efficiency of the offered technique was demonstrated. The analysis of the literature sources showed that there was no consensus on laparoscopic treatment for complicated abdominal diseases after previous open repair; and there were also no clear algorithms in clinical practice for complete transition to laparoscopic surgery in children. The analysis revealed very few economic studies on the efficacy of laparoscopic interventions.
Highlights
The article considers the issues of the development of laparoscopic surgery in pediatrics, the current state of this problem in surgical hospitals, the difficulties associated with transition to minimally invasive surgical interventions, in providing emergency surgical care for children
The possible risks of laparoscopic access and methods for their reduction were analyzed. The advantages of this technique were specified in comparison with open surgical interventions
The analysis of the literature sources showed that there was no consensus on laparoscopic treatment for complicated abdominal diseases after previous open repair; and there were no clear algorithms in clinical practice for complete transition to laparoscopic surgery in children
Summary
В статье представлен обзор литературы по теме неотложной детской абдоминальной хирургии в Российской. Освещены вопросы развития лапароскопической хирургии в педиатрии, современное состояние данной проблемы в хирургических стационарах, сложности, связанные с переходом на выполнение малоинвазивных хирургических вмешательств, при оказании экстренной хирургической помощи детям. Проанализированы варианты возможных рисков при использовании лапароскопического доступа и способы их уменьшения, отмечены преимущества данной методики по сравнению с открытыми оперативными вмешательствами, продемонстрирована ее достоверная экономическая эффективность. Ключевые слова: лапароскопические операции, дети, неотложная хирургия, риски. Лапароскопические операции в неотложной детской абдоминальной хирургии. ВВЕДЕНИЕ Неотъемлемым этапом развития хирургии, в том числе и в педиатрии, является широкое внедрение разнообразных минимально инвазивных эндохирургических технологий в повседневную практику лечения пациентов с экстренной и плановой хирургической патологией. Elena Yu. D’yakonova, Aleksandr Yu. Razumovskii, Abdumanap B.
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