Laparoscopic Surgeries in Pediatric Abdominal Surgical Emergencies
Elena Yu. D’yakonova,
Aleksandr Yu. Razumovskii,
Abdumanap B. Alkhasov,
Alexander A. Baranov,
Leyla S. Namazova-Baranova,
Aleksandr S. Bekin,
Aleksei А. Gusev,
Ekaterina A. Romanova https://doi.org/10.15690/pf.v15i1.1839
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.
About the Authors
Elena Yu. D’yakonova
National Medical Research Center of Children’s Health
Russian Federation
Russian Federation
Moscow
Aleksandr Yu. Razumovskii
National Medical Research Center of Children’s Health; N.F. Filatov Сhildren’s Municipal Clinical Hospital №13 Moscow
Russian Federation
Russian Federation
Abdumanap B. Alkhasov
National Medical Research Center of Children’s Health; N.F. Filatov Сhildren’s Municipal Clinical Hospital №13 Moscow
Russian Federation
Russian Federation
Alexander A. Baranov
National Medical Research Center of Children’s Health
Russian Federation
Russian Federation
Moscow
Leyla S. Namazova-Baranova
National Medical Research Center of Children’s Health; Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Moscow
Aleksandr S. Bekin
National Medical Research Center of Children’s Health
Russian Federation
Russian Federation
Moscow
Aleksei А. Gusev
National Medical Research Center of Children’s Health
Russian Federation
Russian Federation
Moscow
Ekaterina A. Romanova
National Medical Research Center of Children’s Health
Russian Federation
Russian Federation
Moscow
References
1. Muhe E. Long-term follow-up after laparoscopic cholecystectomy. Endoscopy. 1992;24(9):754–758. doi: 10.1055/s-2007-1009119.
2. Dubois F, Berthelot G, Levard H. [Cholecystectomy by coelioscopy. (In French).] Presse Med. 1989;18(19):980–982.
3. Georgeson KE, Robertson DJ. Minimally invasive surgery in the neonate: review of current evidence. Semin Perinatol. 2004;28(3):212–220.
4. Дронов А.Ф., Поддубный И.В., Котлобовский В.И. Эндоскопическая хирургия у детей / Под ред. Исакова Ю.Ф., Дронова А.Ф. — М.: ГЭОТАР-МЕД; 2002. — 440 с. [Dronov AF, Poddubnyi IV, Kotlobovskii VI. Endoskopicheskaya khirurgiya u detei. Ed by Isakov Yu.F., Dronov A.F. Moscow: GEOTAR-MED; 2002. 440 p. (In Russ).]
5. Ярцев П.А., Ермолов А.С., Пахомова Г.В. Лапароскопия в диагностике и лечении острого аппендицита // Хирургия. Журнал им. Н.И. Пирогова. — 2010. — №4 — С. 21–25. [Iartsev PA, Ermolov AS, Pakhomova GV, et al. Laparoscopy for the diagnostic and treatment of the acute appendicitis. Khirurgiia (Mosk). 2010;(4):21–25. (In Russ).]
6. Врублевский С.Г., Поддубный И.В., Трунов В.О., и др. Неотложная абдоминальная патология у детей раннего возраста // Детская хирургия. — 2015. — Т.19. — №3 — С. 32–35. [Vrublevsky SG, Poddubny IV, Tunov VO, et al. Emergency abdominal pathology in young children. Pediatric surgery. 2015;19(3):32–35. (In Russ).]
7. Rentea RM, Peter SD, Snyder CL. Pediatric appendicitis: state of the art review. Pediatr Surg Int. 2017;33(3):269–283. doi: 10.1007/s00383-016-3990-2.
8. Seetahal SA, Bolorunduro OB, Sookdeo TC, et al. Negative appendectomy: a 10-year review of a nationally representative sample. Am J Surg. 2011;201(4):433–437. doi: 10.1016/j.amjsurg.2010.10.009.
9. Jackson HT, Kane TD. Advances in minimally invasive surgery in pediatric patients. Adv Pediatr. 2014;61(1):149–195. doi: 10.1016/j.yapd.2014.03.011.
10. Самойленко В.В., Бунина М.В., Головенко Е.Н. Предоперационный период. Предоперационная оценка. Подготовка к плановым хирургическим вмешательствам / Под ред. Самойленко В.В. — М.: ГЭОТАР-Медиа; 2009. — 119 c. [Samoilenko VV, Bunina MV, Golovenko EN. Predoperatsionnyi period. Pred-operatsionnaya otsenka. Podgotovka k planovym khirurgicheskim vmeshatel’stvam. Ed by Samoilenko V.V. Moscow: GEOTAR-Media; 2009. 119 p. (In Russ).]
11. Рагимов Г.С. Обоснование выбора способа гемостаза при повреждениях паренхиматозных органов брюшной полости: Автореф. дис. ... докт. мед. наук. — Махачкала; 2013. [Ragimov GS. Obosnovanie vybora sposoba gemostaza pri povrezhdeniyakh parenkhi-matoznykh organov bryushnoi polosti. [dissertation abstract] Makhachkala; 2013. (In Russ).]
12. Kane TD, Nwomeh BC, Nadler EP. Thoracoscopic-assisted esophagectomy and laparoscopic gastric pull-up for lye injury. JSLS. 2007;11(4):474–480.
13. Shalaby R, Shams A, Soliman SM, et al. Laparoscopically assisted transhiatal esophagectomy with esophagogastroplasty for postcorrosive esophageal stricture treatment in children. Pediatr Surg Int. 2007;23(6):545–549. doi: 10.1007/s00383-007-1888-8.
14. Кущ Н.Л., Тимченко А.Д. Лапароскопия у детей // Вестник хирургии им. И.И. Грекова. — 1969. — Т.102. — №5 — С. 92–94. [Kushch NL, Timchenko AD. Laparoskopiya u detei. Vestn Khir Im I I Grek. 1969;102(5):92–94.(In Russ).]
15. Gans SL, Berci G. Advances in endoscopy of infants and children. J Pediatr Surg. 1971;6(2):199–233.
16. Manegold BC, Schlicker H. [Endoscopy of the digestive tract in newborns. (In German).] Fortschr Med. 1982;100(8):328–331.
17. Дронов А.Ф., Поддубный К.В., Блинников O.K. Лапароскопия в лечении кишечной инвагинации у детей // Анналы хирургии. — 1996. — №1 — С. 77–81. [Dronov AF, Poddubnyi KV, Blinnikov OK. Laparoskopiya v lechenii kishechnoi invaginatsii u detei. Annals of surgery. 1996;(1):77–81. (In Russ).]
18. Valla JS, Limonne B, Valla V, et al. [Appendectomy with intraoperative celioscopy in children. 465 cases. (In French).] J Chir (Paris). 1991;128(6–7):306–312.
19. Alain JL, Grousseau D, Terrier G. Extramucosal pyloromyotomy by laparoscopy. Surg Endosc. 1991;5(4):174–175.
20. Koyle MA, Woo HH, Kavoussi LR. Laparoscopic nephrectomy in the first year of life. J Pediatr Surg. 1993;28(5):693–695. doi: 10.1016/0022-3468(93)90034-I.
21. van der Zee DC, van Seumeren IG, Bax KM, et al. Laparoscopic approach to surgical management of ovarian cysts in the newborn. J Pediatr Surg. 1995;30(1):42–43. doi: 10.1016/0022-3468(95)90606-1.
22. Curran TJ, Raffensperger JG. Laparoscopic Swenson pull-through: a comparison with the open procedure. J Pediatr Surg. 1996;31(8):11551157. doi: 10.1016/S0022-3468(96)90107-4.
23. Georgeson KE, Fuenfer MM, Hardin WD. Primary laparoscopic pull-through for Hirschsprung’s disease in infants and children. J Pediatr Surg. 1995;30(7):1017–1022. doi: 10.1016/0022-3468(95)90333-X.
24. Powell RW. Stapled intestinal anastomosis in neonates and infants: use of the endoscopic intestinal stapler. J Pediatr Surg. 1995;30(2):195–197. doi: 10.1016/0022-3468(95)90559-6.
25. Dallemagne B, Weerts JM, Jehaes C, et al. Laparoscopic Nissen fundoplication: preliminary report. Surg Laparosc Endosc. 1991;1(3):138–143.
26. Georgeson KE. Laparoscopic gastrostomy and fundoplication. Pediatr Ann. 1993;22(11):675–677.
27. Lobe TE, Schropp KP, Lunsford K. Laparoscopic Nissen fundoplication in childhood. J Pediatr Surg. 1993;28(3):358–361. doi: 10.1016/0022-3468(93)90231-9.
28. Исаков Ю.Ф., Степанов Э.А., Разумовский А.Ю., и др. Искусственный пищевод у детей // Хирургия. Журнал им. Н.И. Пирогова. — 2003. — №7 — С. 6–16. [Isakov YuF, Stepanov EA, Razumovskii AYu, et al. Iskusstvennyi pishchevod u detei. Khirurgiia (Mosk). 2003;(7):6–16. (In Russ).]
29. Jen HC, Shew SB. Laparoscopic versus open appendectomy in children: outcomes comparison based on a statewide analysis. J Surg Res. 2010;161(1):13–17. doi: 10.1016/j.jss.2009.06.033.
30. Zitsman JL. Pediatric minimal-access surgery: update 2006. Pediatrics. 2006;118(1):304–308. doi: 10.1542/peds.2005-2736.
31. Pastore V, Bartoli F. Neonatal laparoscopic inguinal hernia repair: a 3-year experience. Hernia. 2015;19(4):611–615. doi: 10.1007/s10029-014-1269-x.
32. Abbas TO, Hayati A, Ali M. Role of laparoscopy in non-trauma emergency pediatric surgery: a 5-year, single center experience a retrospective descriptive study with literature review. BMC Res Notes. 2012;5:550. doi: 10.1186/1756-0500-5-550.
33. Ilce Z, Yildiz T, Isleyen M. The role of laparoscopy in suspicious abdomen pain in children. Pak J Med Sci. 2013;29(4):1042–1045.
34. Соколов Ю.Ю., Коровин С.А., Недумов Ю.Н., и др. Эффективность лапароскопии у детей с острым аппендицитом и перитонитом // Детская больница. — 2013. — №2 — С. 29–33. [Sokolov YuYu, Korovin SA, Nedumov YuN, et al. Laparoscopy efficacy in the children with acute appendicitis and peritonitis. Children’s hospital. 2013;(2):29–33. (In Russ).]
35. Bannister SL, Wong AL, Leung AK. Acute appendicitis in an incarcerated inguinal hernia. J Natl Med Assoc. 2001;93(12):487–489.
36. Al-Qahtani AR, Almaramhi H. Minimal access surgery in neonates and infants. J Pediatr Surg. 2006;41(5):910–913. doi: 10.1016/j.jpedsurg.2006.01.009.
37. Pearson EG, Clifton MS. The role of minimally invasive surgery in pediatric trauma. Surg Clin North Am. 2017;97(1):75–84. doi: 10.1016/j.suc.2016.08.005.
38. Casey J, Yunker A, Anderson T. Gynecologic surgery in the pediatric and adolescent populations: review of perioperative and operative considerations. J Minim Invasive Gynecol. 2016;23(7):1033– 1039. doi: 10.1016/j.jmig.2016.07.005.
39. Streck CJ, Lobe TE, Pietsch JB, Lovvorn HN. Laparoscopic repair of traumatic bowel injury in children. J Pediatr Surg. 2006;41(11):1864–1869. doi: 10.1016/j.jpedsurg.2006.06.049.
40. Rossi P, Mullins D, Thal E. Role of laparoscopy in the evaluation of abdominal trauma. Am J Surg. 1993;166(6):707–711.
41. Ahmed N, Whelan J, Brownlee J, et al. The contribution of laparoscopy in evaluation of penetrating abdominal wounds. J Am Coll Surg. 2005;201(2):213–216. doi: 10.1016/j.jamcollsurg.2005.04.021.
42. Villavicencio RT, Aucar JA. Analysis of laparoscopy in trauma. J Am Coll Surg. 1999;189(1):11–20.
43. Hasegawa T, Miki Y, Yoshioka Y, et al. Laparoscopic diagnosis of blunt abdominal trauma in children. Pediatr Surg Int. 1997;12(2-3):132–136.
44. Diamond IR, Langer JC. Laparoscopic-assisted versus open ileocolic resection for adolescent Crohn disease. J Pediatr Gastroenterol Nutr. 2001;33(5):543–547. doi: 10.1097/00005176-200111000-00006.
45. von Allmen D, Markowitz JE, York A, et al. Laparoscopic-assisted bowel resection offers advantages over open surgery for treatment of segmental Crohn’s disease in children. J Pediatr Surg. 2003;38(6):963–965.
46. Fraser JD, Garey CL, Laituri CA, et al. Outcomes of laparoscopic and open total colectomy in the pediatric population. J Laparoendosc Adv Surg Tech A. 2010;20(7):659–660. doi: 10.1089/lap.2010.0086.
47. Mattioli G, Pini-Prato A, Barabino A, et al. Laparoscopic approach for children with inflammatory bowel diseases. Pediatr Surg Int. 2011;27(8):839–846. doi: 10.1007/s00383-011-2885-5.
48. Ponsky TA, Diluciano J, Chwals W, et al. Early experience with single-port laparoscopic surgery in children. J Laparoendosc Adv Surg Tech A. 2009;19(4):551–553. doi: 10.1089/lap.2009.0092.
49. Podolsky ER, Rottman SJ, Poblete H, et al. Single port access (SPA) cholecystectomy: a completely transumbilical approach. J Laparoendosc Adv Surg Tech A. 2009;19(2):219–222. doi: 10.1089/lap.2008.0275.
50. Canes D, Desai MM, Aron M, et al. Transumbilical single-port surgery: evolution and current status. Eur Urol. 2008;54(5):1020–1029. doi: 10.1016/j.eururo.2008.07.009.
51. Gumbs AA, Milone L, Sinha P, Bessler M. Totally transumbilical laparoscopic cholecystectomy. J Gastrointest Surg. 2009;13(3):533–534. doi: 10.1007/s11605-008-0614-8.
52. Dutta S. Early experience with single incision laparoscopic surgery: eliminating the scar from abdominal operations. J Pediatr Surg. 2009;44(9):1741–1745. doi: 10.1016/j.jpedsurg.2008.12.024.
53. Rothenberg SS, Shipman K, Yoder S. Experience with modified single-port laparoscopic procedures in children. J Laparoendosc Adv Surg Tech A. 2009;19(5):695–698. doi: 10.1089/lap.2009.0148.
54. Muensterer OJ, Adibe OO, Harmon CM, et al. Single-incision laparoscopic pyloromyotomy: initial experience. Surg Endosc. 2010;24(7):1589–1593. doi: 10.1007/s00464-009-0816-5.
55. Hansen EN, Muensterer OJ, Georgeson KE, Harmon CM. Singleincision pediatric endosurgery: lessons learned from our first 224 laparoendoscopic single-site procedures in children. Pediatr Surg Int. 2011;27(6):643–648. doi: 10.1007/s00383-010-2735-x.
56. Kutikov A, Nguyen M, Guzzo T, et al. Robot assisted pyeloplasty in the infant-lessons learned. J Urol. 2006;176(5):2237–2240. doi: 10.1016/j.juro.2006.07.059.
57. Peters CA, Woo R. Intravesical robotically assisted bilateral ureteral reimplantation. J Endourol. 2005;19(6):618–622. doi: 10.1089/end.2005.19.618.
58. Passerotti C, Peters CA. Robotic-assisted laparoscopy applied to reconstructive surgeries in children. World J Urol. 2006;24(2):193–197. doi: 10.1007/s00345-006-0084-0.
59. Atug F, Woods M, Burgess SV, et al. Robotic assisted laparoscopic pyeloplasty in children. J Urol. 2005;174(4 Pt 1):1440–1442.
60. Meehan JJ, Sandler A. Pediatric robotic surgery: a singleinstitutional review of the first 100 consecutive cases. Surg Endosc. 2008;22(1):177–182. doi: 10.1007/s00464-007-9418-2.
61. Albassam AA, Mallick MS, Gado A, Shoukry M. Nissen fundoplication, robotic-assisted versus laparoscopic procedure: a comparative study in children. Eur J Pediatr Surg. 2009;19(5):316–319. doi: 10.1055/s-0029-1220680.
62. Esposito C, Montupet P. Complications of laparoscopic minimally invasive surgery. J Laparoendosc Adv Surg Tech A. 2003;7(1):13–18. doi: 10.1089/10926410360560962.
63. Chen MK, Schropp KP, Lobe TE. Complications of minimalaccess surgery in children. J Pediatr Surg. 1996;31(8):1161–1165. doi: 10.1016/S0022-3468(96)90109-8.
64. Bax NM, van der Zee DC. Complications in laparoscopic surgery in children. In: Bax NM, Najmaldin A, Valla JS, editors. Endoscopic surgery in children. Berlin: Springer-Verlag; 1999. pp. 357–368.
65. Al-Qahtani AR, Almaramhi H. Minimal access surgery in neonates and infants. J Pediatr Surg. 2006;41(5):910–913. doi: 10.1016/j.jpedsurg.2006.01.009.
66. Olivares P, Tovar JA. [Laparoscopic surgery in children. (In Spanish).] An Esp Pediatr. 1998;48(6):620–624.
67. Waldschmidt J, Schier F. Laparoscopic surgery in neonates and infants. Eur J Pediatr Surg. 1991;1(3):145–150. doi: 10.1055/s2008-1042476.
68. Ure BM, Bax NM, van der Zee DC. Laparoscopy in infants and children: a prospective study on feasibility and the impact on routine surgery. J Pediatr Surg. 2000;35(8):1170–1173. doi: 10.1053/jpsu.2000.8720.
69. Linnaus ME, Ostlie DJ. Complications in common general pediatric surgery procdures. Semin Pediatr Surg. 2016;25(6):404–411. doi: 10.1053/j.sempedsurg.2016.10.002
70. Бычков С.А. Лапароскопическая субтотальная холецистэктомия при остром холецистите // Вестник Харьковского национального университета имени В.Н. Каразина. Серия Медицина. — 2005. — №11 — С. 47–53. [Bychkov SA. Laparoscopic subtotal cholecystectomy at acute cholecystitis. Journal of V.N. Karazin’s Kharkiv National University. Series “Medicine”. 2005;(11):47–53. (In Russ).]
71. Назаренко Д.П. Профилактика и лечение поздних осложнений панкреонекроза // Вестник новых медицинских технологий. — 2006. — Т.13. — №1 — С. 74–76. [Nazarenko DP. Prophylaxis and treatmеnt of puss complications of pancreonecrosis. Journal of new medical technologies. 2006;13(1):74–76.(In Russ).]
72. Хатьков И.Е., Барсуков Ю.А., Атрощенко А.О., Гордеев С.С. Иммунологические особенности малоинвазивных лапароскопических операций // Анналы хирургии. — 2012. — №1 — С. 15–20. [Khat’kov IE, Barsukov YuA, Atroshchenko AO, Gordeev SS. Immunologic features of mini-invasive laparoscopic surgeries. Annals of surgery. 2012;(1):15–20.(In Russ).]
73. Townsend CM, Beauchamp RD, Evers BM, Mattox KL. Sabiston textbook of surgery. 19th ed. Saunders; 2012.
74. Parigi GB, Czauderna P, Rolle U, Zachariou Z. European census on pediatric surgery. Eur J Pediatr Surg. 2017. doi: 10.1055/s-0037-1600524.
75. Jackson HT, Shah SR, Hathaway E, et al. Evaluating the impact of a minimally invasive pediatric surgeon on hospital practice: comparison of two children’s hospitals. Surg Endosc. 2016;30(6):2281–2287. doi: 10.1007/s00464-015-4227-5.
76. Соколов Ю.Ю., Недумов Ю.Н., Коровин С.А., и др. Опыт организации круглосуточной лапароскопической службы в детском хирургическом стационаре // Российская академия медицинских наук. Бюллетень Национального научно-исследовательского института общественного здоровья. — 2012. — №3 — С. 39. [Sokolov YuYu, Nedumov YuN, Korovin SA, et al. Opyt organizatsii kruglosutochnoi laparoskopicheskoi sluzhby v detskom khirurgicheskom statsionare. Rossiiskaya akademiya meditsinskikh nauk. Byulleten’ Natsional’nogo nauchno-issledovatel’skogo institute obshchestvennogo zdorov’ya. 2012;(3):39.(In Russ).]
77. Галлямов Э.А. Проблема совершенствования и внедрения высоких технологий эндохирургических вмешательств в клиническую практику: Автореф. канд. дис. … канд. мед. наук. — М.; 2008. [Gallyamov EA. Problema sovershenstvovaniya i vnedreniya vysokikh tekhnologii endokhirurgicheskikh vmeshatel’stv v klinicheskuyu praktiku. [dissertation abstract] Moscow; 2008. (In Russ).]
78. Миллер А.М., Ярошенко В.П., Сорока П.В., Стахнев Е.Ю. Изучение эффективности применения препарата Витапрост форте у пациентов с доброкачественной гиперплазией предстательной железы // Эффективная фармакотерапия. — 2009. — №27 — С. 32–35. [Miller AM, Yaroshenko VP, Soroka PV, Stakhnev EYu. Izuchenie effektivnosti primeneniya preparata vitaprost forte u patsientov s dobrokachestvennoi giperplaziei predstatel’noi zhelezy. Effektivnaya farmakoterapiya. 2009;(27):32–35. (In Russ).]
79. Кучеренко В.З., Ростовцева О.О. Организационно-медицинские технологии в аспекте экономической эффективности использования лапароскопических вмешательств в гинекологии // Экономика здравоохранения. — 2010. — №4 — С. 56–61. [Kucherenko VZ, Rostovtseva OO. Organizatsionnomeditsinskie tekhnologii v aspekte ekonomicheskoi effektivnosti ispol’zovaniya laparoskopicheskikh vmeshatel’stv v ginekologii. Ekonomika zdravookhraneniya. 2010;(4):56–61. (In Russ).]
80. laparoscopy.ru [интернет]. Ступин В.А., Михайлусов С.В., Тронин Р.Ю., и др. Роль лечебной эндоскопии в ургентной абдоминальной хирургии. XIV Съезд Российского Общества Эндоскопических Хирургов [доступ от 21.10.2017]. [Stupin VA, Mikhailusov SV, Tronin RYu, et al. Rol’ lechebnoi endoskopii v urgentnoi abdominal’noi khirurgii. XIV S»ezd Rossiiskogo Obshchestva Endoskopicheskikh Khirurgov (In Russ).] Доступ по ссылке http://www.laparoscopy.ru/doktoru/view_thesis.php?id=1959&event_id=9.
81. Thoma A, Haines T, Veltri K, et al. A methodological guide to performing a cost-utility study comparing surgical techniques. Can J Plast Surg. 2004;12(4):179–187. doi: 10.1177/229255030401200404.
82. Ketefian A, Hu J, Bartolucci AA, et al. Fifteen-year trend in the use of male reproductive surgery: analysis of the healthcare cost and utilization project data. BJU Int. 2011;107(7):1118–1123. doi: 10.1111/j.1464-410X.2010.09632.x.
83. Michailidou M, Goldstein SD, Sacco Casamassima MG, et al. Laparoscopic versus open appendectomy in children: the effect of surgical technique on healthcare costs. Am J Surg. 2015;210(2):270–275. doi: 10.1016/j.amjsurg.2014.09.037.
84. Biondi A, Di Stefano C, Ferrara F, et al. Laparoscopic versus open appendectomy: a retrospective cohort study assessing outcomes and cost-effectiveness. World J Emerg Surg. 2016;11(1):44. doi: 10.1186/s13017-016-0102-5.
85. Groves LB, Ladd MR, Gallaher JR, et al.Comparing the cost and outcomes of laparoscopic versus open appendectomy for perforated appendicitis in children. Am Surg. 2013;79(9):861–864.
86. Cundy TP, Harling L, Marcus HJ, et al. Meta analysis of robot-assisted versus conventional laparoscopic fundoplication in children. J Pediatr Surg. 2014;49(4):646–652. doi: 10.1016/j.jpedsurg.2013.12.014.
87. Carrington EV, Hall NJ, Pacilli M, et al. Cost-effectiveness of laparoscopic versus open pyloromyotomy. J Surg Res. 2012;178(1):315–320. doi: 10.1016/j.jss.2012.01.031.
Review
For citations:
D’yakonova E.Yu., Razumovskii A.Yu., Alkhasov A.B., Baranov A.A., Namazova-Baranova L.S., Bekin A.S., Gusev A.А., Romanova E.A. Laparoscopic Surgeries in Pediatric Abdominal Surgical Emergencies. Pediatric pharmacology. 2018;15(1):9-19. (In Russ.) https://doi.org/10.15690/pf.v15i1.1839
Views:
1213
Email this article 