SciELO - Scientific Electronic Library Online

vol.49 issue1Anaesthetic considerations for paediatric laparoscopyOesophageal atresia without tracheo-oesophageal fistula and an anorectal malformation: Advantages of a primary laparoscopically assisted anorectal pull-through author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand



Related links

  • On index processCited by Google
  • On index processSimilars in Google


South African Journal of Surgery

On-line version ISSN 2078-5151
Print version ISSN 0038-2361

S. Afr. j. surg. vol.49 n.1 Cape Town Feb. 2011




Neonatal laparoscopy



Alp NumanogluI; Angus AlexanderII

IM.B. Ch.B., F.C.S. (S.A.); Department of Paediatric Surgery, Red Cross War Memorial Children's Hospital and University of Cape Town
IIM.B. Ch.B., F.C.S. (S.A.) (cert. Paed. Surg.); Department of Paediatric Surgery, Red Cross War Memorial Children's Hospital and University of Cape Town




Until recently minimally invasive surgery was not performed in neonates. This was because of their small size and distinct physiological characteristics. Since the introduction of fine laparoscopic instruments, improvements in the surgical technique and a better understanding of the unique anaesthetic requirements of laparoscopy, more complex operations have been performed.
While certain operations such as laparoscopic pyloromyotomy have become routine in many centres, others require significant infrastructure and experience. Advantages of minimally invasive surgery seen in older children and adults, such as shortened hospital stay and less pain, also apply to neonates.
There is no doubt that minimally invasive surgery for neonates is still in its infancy. For many neonatal conditions requiring surgery, the benefits of minimally invasive surgery have yet to be established with well-designed studies.



“Full text available only in PDF format”



1. Sinha CK, Paramalingam S, Patel S, Davenport M, Ade-Ajayi N. Feasibility of complex minimally invasive surgery in neonates. Pediatr Surg Int 2009;25(3):217-221.         [ Links ]

2. Kalfa N, Allal H, Raux O, Lopez M, Forgues D, Guibal MP, Picaud JC, Galifer RB. Tolerance of laparoscopy and thoracoscopy in neonates. Pediatrics 2005;116(6):e785-791.         [ Links ]

3. Bozkurt P, Kaya G, Yeker Y, Tunali Y, Altintas F. The cardiorespiratory effects of laparoscopic procedures in infants. Anaesthesia 1999;54(9):831-834.         [ Links ]

4. Pierro A, Hall N, Ade-Ajayi A, Curry J, Kiely Em EM. Laparoscopy assists surgical decision making in infants with necrotizing enterocolitis. J Pediatr Surg 2004;39(6):902-906; discussion 902-906.         [ Links ]

5. Hall NJ, Van Der Zee J, Tan HL, Pierro A. Meta-analysis of laparoscopic versus open pyloromyotomy. Ann Surg 2004;240(5):774-778.         [ Links ]

6. Hall NJ, Pacilli M, Eaton S, et al. Recovery after open versus laparoscopic pyloromyotomy for pyloric stenosis: a double-blind multicentre randomised controlled trial. Lancet 2009;373:390-398.         [ Links ]

7. Fraser JD, Aguayo P, Sharp SW, Ostlie DJ, St Peter SD. The role of laparoscopy in the management of malrotation. J Surg Res 2009;156(1):80-82.         [ Links ]

8. Hagendoorn J, Vieira-Travassos D, Van der Zee D. Laparoscopic treatment of intestinal malrotation in neonates and infants: retrospective study. Surg Endosc 2011;25(1):217-220.         [ Links ]

9. Stanfill AB, Pearl RH, Kalvakuri K, Wallace LJ, Vegunta RK. Laparoscopic Ladd's procedure: treatment of choice for midgut malrotation in infants and children. J Laparoendosc Adv Surg Tech A 2010;20(4):369-372.         [ Links ]

10. Kay S, Yoder S, Rothenberg S. Laparoscopic duodenoduodenostomy in the neonate. J Pediatr Surg 2009;44(5):906-908.         [ Links ]

Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License