2010, Number 3
Review of a group of the National Pediatric Surgeons Minimally Invasive Surgery
de Paredes-Soto L, González-Romero G, Romero-Montes VE, Olvera-Durán JA
Full text
Language: Spanish
References: 15
Page: 113-119
PDF size: 258.05 Kb.
ABSTRACT
Introduction: In the 80s it was shown that laparoscopic surgery was fully applicable to pediatric patients and this has generated many of the conventional techniques, are reproduced by minimally invasive approaches. Despite this, even generated controversy over its aplicabalidad and development in daily practice, for this reason we have the objective to know the opinion of national pediatric surgeons on its perception of minimally invasive surgery.Material and Methods: A study of opinion, prospective, transversal and descriptive by applying a standard questionnaire applied to national pediatric surgeons for a total of 126 pediatric surgeons surveyed, in which data were collected general perception of training, satisfaction and future of minimally invasive surgery. The reliability of responses was established with the Person test, in which values less than 0.5 were considered significant.
Results: Among the results obtained for 68% of respondents are from the region of the country centrooccidente. 93% of surveyed pediatric surgeons develop minimally invasive approach, of which 35% are between 5 and 10 years of experience as surgeons. 91% made less than five surgeries per week without supervision, and 31% of surgeons believed that perform in a minimally invasive unit is the best choice for training in this modality. Group of surgeons who do not practice laparoscopy, 55% consider it of little use.
Conclusions: 1) The general view is that the community has an enthusiasm pediatric surgeons open to these approaches, and define a greater increase in satisfaction as pediatric surgical specialists to develop minimally invasive surgery.2) Laparoscopic surgery in our environment is widely accepted by pediatricians pirujanos group, which follows a progressive and positive developments in this area of surgery in our country, so in the coming years, should encourage the appropriate tutorial training of surgeons in training, since it is a complex approach that requires particular skills. 3) We consider the objective standardization of work plans in order to develop the skills of minimally invasive surgery baselines for residents and surgeons the skills of experienced surgeons. 4) Robotic surgery should be to promote regular, capitalizing on the growing interest in this area.
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