Journal List > J Korean Assoc Pediatr Surg > v.20(1) > 1071937

Kim, Kim, Kim, Nam, Park, Park, Park, Park, Park, Park, Park, Boo, Seo, Seol, Oh, Lee, Lee, Jang, Jung, Jung, Jung, Jung, Jung, Jung, Cho, Choi, Choi, Choi, Choi, Choi, and Hong: Minimal Invasive Surgery: A National Survey of Its Members by the Korean Association of Pediatric Surgeons

Abstract

Minimal invasive surgery (MIS) has rapidly gained acceptance for the management of a wide variety of pediatric diseases. A questionnaire was sent to all members of the Korean Association of Pediatric Surgeons. Thirty one members (25.4%) took part in the survey that included data for the year 2012: demographic details, opinion regarding minimal invasive surgery and robotic surgery, spectrum of minimally invasive operations, and quantity of procedures. 48.4% of the respondents had more than 10 years experience, 35.5% less than 10 years experience, and 16.1 % had no experience. The respondents of the recommend MIS and perform MIS for surgical procedures are as follow; inguinal hernia (61.3%), simple appendicitis (87.1%), complicated appendicitis (80.6%), reduction of intussusceptions (83.9%), pyloromyotomy (90.3%), fundoplication (96.8%), biopsy and corrective surgery of Hirschsprung's disease (93.5%/90.3%), imperforate anus (77.4%), congenital diaphragmatic hernia (80.6%), and esophageal atresia (74.2%). The MIS procedures with more than 70% were lung resection (100%), cholecystectomy (100%), appendectomy (96.2%), ovarian torsion (86.7%), fundoplication (86.8%), hiatal hernia repair (82.6%), and splenectomy (71.4%). The MIS procedures with less than 30% were congenial diaphragmatic hernia reapir (29.6%), esophageal atresia (26.2%), correction of malroatation (24.4%), inguinal hernia repair (11.4%), anorectal malformation (6.8%), Kasai operation (3.6%).

Figures and Tables

Table 1
Questionnaire for Personal Data
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Table 2
Questionnaire for Opinion about Pediatric MIS
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Table 3
Questionnaire for Personal Experience
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Table 4
Questionnaire for Robot Surgery
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Table 5
Number of Years as Pediatric Surgeon and Minimally Invasive Surgery Experience
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Table 6
Experience of MIS Training
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Table 7
Recommendations for Pediatric MIS
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Table 8
Procedures over 70% with MIS
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Table 9
Procedures over 30%, Less than 70% with MIS
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Table 10
Procedures Less than 30%
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Table 11
Comparisons of the Opinion for MIS between the Junior and Senior Pediatric Surgeons
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References

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3. Pier A, Götz F, Bacher C. Laparoscopic appendectomy in 625 cases: from innovation to routine. Surg Laparosc Endosc. 1991; 1:8–13.
4. Firilas AM, Jackson RJ, Smith SD. Minimally invasive surgery: the pediatric surgery experience. J Am Coll Surg. 1998; 186:542–544.
crossref
5. Jones VS, Cohen RC. Two decades of minimally invasive pediatric surgery-taking stock. J Pediatr Surg. 2008; 43:1653–1659.
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