Minimal Access surgery

Quote from "The SAGES Manual of Pediatric Minimally Invasive Surgery" by Danielle S. Walsh, Todd A. Ponsky, Nicholas E. Bruns - "The insufflation setting is based on the patient’s age and surgeon’s preference. An intraperitoneal pressure of 15 mmHg is usually tolerated by most healthy pediatric patients who weigh more than 5 kg. Intraperitoneal pressures of more than 20 mmHg can lead to decreased venous return and ventilator issues. If the patient is less than 5 kg, an intraperitoneal pressure of 8–12 mmHg is used."

Quote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth - "For routine lung biopsies or lung resections, the patient is placed in a standard lateral decubitus position, which provides for excellent visualization and access to all surfaces of the lung. This position is also the most beneficial set-up for decortications, pleurodesis, and other procedures in which the surgeon may need access to the entire pleural or lung surface. For anterior mediastinal surgery such as thymectomy, aortopexy, or biopsy, or for resection of anterior tumors or lymph nodes, a three-quarters posterolateral decubitus position should be chosen (Fig. 11.3). For…

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Quote from "ESPES Manual of Pediatric Minimally Invasive Surgery" by Ciro Esposito, François Becmeur, Henri Steyaert, Philipp Szavay - "It is important to remember that if you use clips to close vessels, it is forbidden to use monopolar scissors or sealing devices to cut between clips, because you risk having the clips detach immediately or in the postoperative period."

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