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Division of Pediatric Surgery

Laparoscopic Procedures in Children

Procedures Using Minimally Invasive Techniques

Procedures that can be performed using minimally invasive techniques in pediatric patients:

Note: Almost any surgical procedure done open can be done using minimally invasive technique in children. Each case must be evaluated carefully in order to determine if the use of such technique is appropriate for a specific patient. Not all patients are good candidates for certain types of minimally invasive surgery.

  • Laparoscopic cholecystectomy: Removal of the gallbladder and gallstones
  • Laparoscopic bile duct exploration: Exploration and extraction of gallstones located in the bile duct
  • Laparoscopic appendectomy: Removal of an infected appendix. Also includes cases of ruptured & perforated appendicitis with generalized intra-abdominal infection and abscess
  • Laparoscopic Nissen fundoplication:  Creation of an anti-reflux valve in the stomach for treatment of gastroesophageal reflux and chronic vomiting
  • Laparoscopic Heller myotomy: Opening of the muscles in the lower esophagus for treatment of achalasia (difficulty swallowing food)
  • Laparoscopic enterolysis: Freeing of intestinal adhesions, a common cause of intestinal obstruction
  • Laparoscopic bowel resection: Removal of parts of the intestine for treatment of disorders of the colon and small bowel
  • Laparoscopic assisted reversal of colostomy: Reversal of temporary colostomies and ileostomies
  • Laparoscopic reduction of intussusception: Treatment for intestinal obstruction in infants that allows for reversal of a common form of small bowel obstruction. It rarely requires removal of any segment of intestine
  • Laparoscopic pyloromyotomy: Relief of an obstruction of the stomach caused by an enlarged pyloric muscle, a common condition found in young babies
  • Laparoscopic repair of hernias: Evaluation of various types of abdominal wall and inguinal hernias in young children and infants allowing for precise surgical repair, using laparoscopic techniques
  • Laparoscopic/Needlescopic inguinal hernia repairRepair of inguinal hernias in children with micro-incisions
  • Laparoscopic mesh repair of incisional hernias: Correction of large incisional abdominal wall hernias using an artificial mesh
  • Laparoscopic tumor biopsy: Sampling of tissue from various types of intra-abdominal tumors
  • Laparoscopic resection of Meckel's diverticulum: Removal of a congenital abnormality of the small bowel which frequently causes infection, bleeding, or an intestinal obstruction
  • Laparoscopic splenectomy: Removal of the spleen in children with hematological disorders
  • Laparoscopic tumor staging: Staging procedure used for certain types of tumor affecting the abdomen
  • Laparoscopic lymphadenectomy: Removal of lymphnodes affected by tumors from the abdomen
  • Laparoscopic gastrostomy: Creation of an opening in the stomach for nutritional support of children with failure to thrive and malnutrition
  • Laparoscopic jejunostomy: Creation of an opening in the small bowel for nutritional support
  • Laparoscopic pelvic exploration: Evaluation for pelvic pathology in young females, including endometriosis, tubo-ovarian pathology and infection
  • Laparoscopic oophorectomy and cystectomy: Removal of a diseased ovary and/or ovarian cyst
  • Laparoscopic exploration for undescended testicle: Exploration of the abdomen for boys with an intra-abdominal testicle
  • Laparoscopic orchiopexy: Correction of a testicle that is not in its normal location in the scrotal sac
  • Laparoscopic varicocelectomy: Treatment for engorged testicular veins
  • Laparoscopic liver biopsy: Biopsy of the liver for the diagnosis of various conditions and infections that can affect the liver
  • Laparoscopic resection of omental cysts: Removal of congenital cysts from the abdomen
  • Laparoscopic pull-through for Hirschsprung’≥ disease: Treatment for a form of distal intestinal obstruction in babies with removal of part of the colon and rectum. This technique typically eliminates the need for a colostomy
  • Laparoscopic rectopexy: Treatment for rectal prolapse
  • Laparoscopic nephrectomy: Removal of a diseased kidney or harvesting of a kidney for transplantation
  • Laparoscopic adrenalectomy: Removal of the adrenal gland
  • Laparoscopic repair of the diaphragm: Repair of the diaphragm in selected babies born with a partially absent diaphragm
  • Thoracoscopic and minimally invasive repair of pectus excavatum: Minimally invasive technique that allows for the correction of congenital chest wall malformations eliminating the need for rib resection and sternal fracture
  • Thoracoscopic lung biopsy and wedge resection: Sampling of lung tissue for the diagnosis of various pulmonary conditions that affect infants and children
  • Thoracoscopic lobectomy: Removal of a diseased lobe of the lung
  • Thoracoscopic excision-plication of Bullae: Removal of abnormal lung blebs that can cause leakage of air from the lungs into the pleural cavity
  • Thoracoscopic pleural drainage: Drainage of fluid and/or blood for the chest cavity with placement of a chest tube
  • Thoracoscopic pleurodesis: Treatment for cases of recurrent accumulation of fluid or air in the lining of the lungs
  • Thoracoscopic sympathectomy: Division of chest nerves for treatment of sweaty hands
  • Thoracoscopic mediastinal exploration: Evaluation of the central portion of the chest, a common site for various types of tumors of childhood
  • Thoracoscopic decortication for empyema: Treatment of a severe infection of the lining of the lungs
  • Thoracoscopic resection of mediastinal cysts: Removal of congenital cysts from the chest and mediastinum
  • Thoracoscopic tumor biopsy: Sampling of various types of tumors of the chest in order to determine the tissue type and possible treatment options
  • Thoracoscopic scoliosis surgery: Manipulation and exposure of the thoracic spine for treatment of congenital deformity of the spine
  • Thoracoscopic creation of a pericardial window: Opening of the sac covering the heart to remove fluid that may be compromising cardiac function
  • Thoracoscopic repair of esophageal atresia: Repair of the esophagus in selected babies born with part of the esophagus missing and abnormally connected to the trachea

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