Single-port endoscopic surgery in newborns and infants

Kozlov Yu.A.; Novozhilov V.A.; Kovalkov K.A.; Chubko D.M.; Baradieva P.Zh.; Krasnov P.А.; Rasputin A.A.

doi:https://doi.org/10.17116/endoskop201622248-57

Close metadata

Recommended articles:

Technical aspects of laparoscopic formation of gastroduodenoanastomosis (Billroth-I) during distal resection in patients with gastric cancer. Endoscopic Surgery. 2025;(3):44-51

Laparoscopic treatment of a patient with torsion of the wandering spleen. Endoscopic Surgery. 2025;(3):63-68

Comparative analysis of surgical treatment results in case of distal resection in patients with gastric cancer with reconstruction according to Billroth-I and on the Roux-en-Y loop of the small intestine. Endoscopic Surgery. 2025;(4):37-43

Surgical treatment of thoracic esophageal diverticula (clinical series). Russian Journal of Evidence-Based Gastroenterology. 2024;(4):89-94

Immediate results of laparoscopic spleen-preserving distal pancreatectomy: Kimura vs Warshaw procedure. Pirogov Russian Journal of Surgery. 2025;(1):22-28

Laparoscopic interventions in urgent surgery (literature review). Pirogov Russian Journal of Surgery. 2025;(2):94-101

Effectiveness of lower body perfusion strategy for prevention of renal injury in infants undergoing aortic arch repair. Russian Journal of Cardiology and Cardiovascular Surgery. 2025;(2):142-149

Urogenital endometriosis. Russian Bulletin of Obstetrician-Gynecologist. 2025;(2):61-67

Posthysterectomy syndrome. Russian Bulletin of Obstetrician-Gynecologist. 2025;(3):34-40

Surgical treatment of posthemorrhagic hydrocephalus in premature infants. Burdenko's Journal of Neurosurgery. 2025;(4):7-17

Abstract:

Keywords:

laparoscopy

newborns

infants

single laparoscopic access

single-port children endosurgery

Authors:

Kozlov Yu.A.

Gorodskaia Ivano-Matreninskaia detskaia klinicheskaia bol'nitsa, Irkutsk;
Irkutskaia gosudarstvennaia meditsinskaia akademiia poslediplomnogo obrazovaniia

Novozhilov V.A.

Gorodskaia Ivano-Matreninskaia detskaia klinicheskaia bol'nitsa, Irkutsk;
Irkutskiĭ gosudarstvennyĭ meditsinskiĭ universitet;
Irkutskaia gosudarstvennaia meditsinskaia akademiia poslediplomnogo obrazovaniia

Kovalkov K.A.

Irkutsk State Medical University Pediatric city clinical hospital, Kemerovo

Chubko D.M.

Regional pediatric clinical hospital, Krasnoyarsk

Baradieva P.Zh.

Irkutsk State Medical University, Irkutsk, Russia

Krasnov P.А.

Irkutsk Municipal Pediatric Clinical Hospital, Irkutsk, center of surgery and intensive care of the newborns;
Irkutsk State Medical University

Rasputin A.A.

Close metadata

References:

Wheeless CR. A rapid, inexpensive and effective method of surgical sterilization by laparoscopy. J Reprod Med. 1969;3:65-96.
Pelosi MA, Pelosi MA. Laparoscopic appendectomy using a single umbilical puncture (minilaparoscopy). J Reprod Med. 1992;37:588-594.
Esposito C. One-trocar appendectomy in pediatric surgery. Surg Endosc. 1998;12:177-178.
Desai MM, Rao PP, Aron M, Pascal-Haber G, Desai MR, Mishra S, Kaouk JH, Gill IS. Scarless single port transumbilical nephrectomy and pyeloplasty: first clinical report. BJU Int. 2008;101:83-88.
Kaouk JH, Palmer JS. Single-port laparoscopic surgery: initial experience in children for varicocelectomy. BJU Int. 2008;102:97-99.
Podolsky ER, Curcillo PG. Single port access (SPA) surgery - a 24-month experience. J Gastrointest Surg. 2010;14:759-767.
Morales-Conde S, Moreno JG, Gómez JC, Socas M, Barranco A, Alarcón I, Casado M, Cadet JM, Martín-Cartes J. Total intracorporeal anastomosis during single-port laparoscopic right hemicolectomy for carcinoma of colon: a new step forward. Surg Innov. 2010;17:226-228.
Rané A, Rao P, Rao P. Single-port-access nephrectomy and other laparoscopic urologic procedures using a novel laparoscopic port (R-port). Urology. 2008;72:260-263.
Zhu JF, Hu H, Ma YZ, Xu MZ, Li F. Transumbilical endoscopic surgery: a preliminary clinical report. Surg Endosc. 2009;23:813-817.
Gill IS, Canes D, Aron M, Haber GP, Goldfarb DA, Flechner S, Desai MR, Kaouk JH, Desai MM. Single port transumbilical (E-NOTES) donor nephrectomy. J Urol. 2008;180:637-641.
Muensterer OJ, Adibe OO, Harmon CM, Chong A, Hansen EN, Bartle D, Georgeson KE. Single-incision laparoscopic pyloromyotomy: initial experience. Surg Endosc. 2010;24:1589-1593.
Muensterer OJ, Chong AJ, Georgeson KE, Harmon CM. The Cross-technique for single-incision pediatric endosurgical pyloro- myotomy. Surg Endosc. 2011;25:3414-3418.
Ponsky TA, Lukish JR. Single site laparoscopic gastrostomy with a 4-mm bronchoscopic optical grasper. J Pediatr Surg. 2008;43:412-414.
Takehara H, Yakabe S, Kameoka K. Laparoscopic percutaneous extraperitoneal closure for inguinal hernia in children: clinical outcome of 972 repairs done in 3 pediatric surgical institutions. J Pediatr Surg. 2006;41:1999-2003.
Lima M, Tursini S, Ruggeri G, Gargano T, Libri M, Domini M. One trocar assisted pyeloplasty (OTAP): initial experience and codification of a technique. Pediatr Med Chir. 2007;29:108-111.
Clark JM, Koontz CS, Smith LA, Kelley JE. Video-assisted transumbilical Meckel’s diverticulectomy in children. Am Surg. 2008;74:327-329.
Park YH, Kang MY, Jeong MS, Choi H, Kim HH. Laparoendoscopic single-site nephrectomy using a homemade single-port device for single-system ectopic ureter in a child: initial case report. J Endourol. 2009;23:833-835.
Wong KK, Chung PH, Lan LC, Chan IH, Tam PK. The first report of a single-port laparoscopic nephrectomy in a child. Hong Kong Med J. 2010;16:153-154.
Dutta S. Early experience with single incision laparoscopic surgery: eliminating the scar from abdominal operations. J Pediatr Surg. 2009;44:1741-1745.
Hansen EN, Muensterer OJ. Single incision laparoscopic splene- ctomy in a 5-year-old with hereditary spherocytosis. JSLS. 2010;14:286-288.
Raju GA, Norris RD, Su RR, Docimo SG. Single-site laparoscopic orchidopexy in an infant. Urology. 2010;76:143-144.
Danielson PD, Chandler NM. Single-port laparoscopic repair of a Morgagni diaphragmatic hernia in a pediatric patient: advancement in single-port technology allows effective intracorporeal suturing. J Pediatr Surg. 2010;45:21-24.
Muensterer OJ, Perger L, Hansen EN, Lacher M, Harmon CM. Single-incision pediatric endosurgical Nissen fundoplication. J Laparoendosc Adv Surg Tech A. 2011;21:641-645.
Diao M, Li L, Dong N, Li Q, Cheng W. Single-incision laparoscopic Roux-en-Y hepaticojejunostomy using conventional instruments for children with choledochal cysts. Surg Endosc. 2012;26:1784-1790.
Tormenti MJ, Adamo MA, Prince JM, Kane TD, Spinks TJ. Single-incision laparoscopic transumbilical shunt placement. J Neurosurg Pediatr. 2011;8:390-393.
Padilla BE, Dominguez G, Millan C, Martinez-Ferro M. The use of magnets with single-site umbilical laparoscopic surgery. Semin Pediatr Surg. 2011;20:224-231.
Potter DD, Tung J, Faubion WA, Moir C. Single-incision laparoscopic colon and rectal surgery for pediatric inflammatory bowel disease and polyposis syndromes. J Laparoendosc Adv Surg Tech A. 2012;22:203-207.
Ponsky TA, Diluciano J, Chwals W, Parry R, Boulanger S. Early experience with single-port laparoscopic surgery in children. J Laparoendosc Adv Surg Tech A. 2009;19:551-553.
Saldaña LJ, Targarona EM. Single-incision pediatric endosurgery: a systematic review. J Laparoendosc Adv Surg Tech A. 2013;23:467-480.
Chang YT, Lee JY, Tsai CJ, Chiu WC, Chiou CS. Preliminary experience of one-trocar laparoscopic herniorrhaphy in infants and children. J Laparoendosc Adv Surg Tech A. 2011;21:277-282.
Clarke S. Pediatric inguinal hernia and hydrocele: an evidence- based review in the era of minimal access surgery. J Laparoendosc Adv Surg Tech A. 2010;20:305-309.
Muensterer OJ, Georgeson KE. Multimedia manuscript: inguinal hernia repair by single-incision pediatric endosurgery (SIPES) using the hydrodissection-lasso technique. Surg Endosc. 2011;25:3438-3439.
Takahara H, Ishibashi H, Satoh H, Fukuyama T, Iwata T, Tashiro S. Laparoscopic surgery for inguinal lesions of pediatric patients. In: Proceedings of 7th World Congress of Endoscopic Surgery. Singapore. 2000;537-541.
Ozgediz D, Roayaie K, Lee H, Nobuhara KK, Farmer DL, Bratton B, Harrison MR. Subcutaneous endoscopically assisted ligation (SEAL) of the internal ring for repair of inguinal hernias in children: report of a new technique and early results. Surg Endosc. 2007;21:1327-1331.
Patkowski D, Czernik J, Chrzan R, Jaworski W, Apoznański W. Percutaneous internal ring suturing: a simple minimally invasive technique for inguinal hernia repair in children. J Laparoendosc Adv Surg Tech A. 2006;16:513-517.
Tatekawa Y. Laparoscopic extracorporeal ligation of hernia defects using an epidural needle and preperitoneal hydrodissection. J Endourol. 2012;26:474-477.
Kozlov Y, Novozhilov V, Rasputin A, Krasnov P. Technology  of single-incision laparoscopic approach in treatment of inguinal hernias in young children. (Article in Russian) Ann Surg. 2013;6:31-38.
Bharathi RS, Dabas AK, Arora M, Baskaran V. Laparoscopic ligation of internal ring-three ports versus single-port technique: are working ports necessary? J Laparoendosc Adv Surg Tech A. 2008;18:891-894.
Kozlov Y, Novogilov V, Podkamenev A, Rasputin A, Weber I, Solovjev A, Yurkov P. Single-incision laparoscopic surgery for pyloric stenosis. Pediatr SurgInt. 2012;28:347-350.
Johnson KC, Cha DY, DaJusta DG, Barone JG, Ankem MK. Pediatric single-port-access nephrectomy for a multicystic, dysplastic kidney. J Pediatr Urol. 2009;5:402-404.
Koh CJ, De Filippo RE, Chang AY, Hardy BE, Berger A, Eisenberg M, Patil M, Aron M, Gill IS, Desai MM. Laparoendoscopic single- site nephrectomy in pediatric patients: initial clinical series of infants to adolescents. Urology. 2010;76:1457-1461.
Ham WS, Im YJ, Jung HJ, Hong CH, Han WK, Han SW. Initial experience with laparoendoscopic single-site nephrectomy and nephroureterectomy in children. Urology. 2011;77:1204-1208.
Luithle T, Szavay P, Fuchs J. Single-incision laparoscopic nephrour- eterectomy in children of all age groups. J Pediatr Surg. 2013;48:1142-1146.
Cabezalí Barbancho D, Gómez Fraile A, López Vázquez F, Aransay Bramtot A. Single-port nephrectomy in infants: Initial experience. J Pediatr Urol. 2011;7:396-398.
Bailez M, Martinez Ferro M. Endosurgical postnatal approach to fetal ovarian cysts. Pediatr Endosurg Innovat Tech. 1997;1:111-116.
Tseng D, Curran TJ, Silen ML. Minimally invasive management of the prenatally torsed ovarian cyst. J Pediatr Surg. 2002;37:1467-1469.
Prasad S, Chui CH. Laparoscopic-assisted transumbilical ovarian cystectomy in a neonate. JSLS. 2007;11:138-141.
Schenkman L, Weiner TM, Phillips JD. Evolution of the surgical management of neonatal ovarian cysts: laparoscopic-assisted transumbilical extracorporeal ovarian cystectomy (LATEC). J Laparoendosc Adv Surg Tech A. 2008;18:635-640.
Cimador M, Sireci F, Di Pace MR, De Grazia E. One-trocar, video- assisted stripping technique for use in the treatment of large ovarian cysts in infants. J Pediatr Adolesc Gynecol. 2010;23:168-171.
Kozlov IuA, Novozhilov VA, Rasputin AA, Syrkin NV, Podkamenev AV, Iurkov PS, Solov’ev AA, Radikevich OV. Hybrid surgery for the treatment of ovarial cysts in newborns. Khirurgiia (Mosk). 2013;11:40-45.
Muensterer OJ, Chong A, Hansen EN, Georgeson KE. Single- incision laparoscopic endorectal pull-through (SILEP) for hirschsprung disease. J Gastrointest Surg. 2010;14:1950-1954.
Muensterer OJ, Hansen EN. Resection of a duodenal web using single-incision pediatric endosurgery. J Pediatr Surg. 2011;46:989-993.
Muensterer OJ, Keijzer R. Single-incision pediatric endosurgery- assisted ileocecectomy for resection of a NEC stricture. Pediatr Surg Int. 2011;27:1351-1353.
Yu HS, Ham WS, Rha KH, Han SW, Choi YD, Han WK, Chang WS. Laparoendoscopic single-site nephrectomy using a modified umbilical incision and a home-made transumbilical port. Yonsei Med J. 2011;52:307-313.
Kim HJ, Lee JI, Lee YS, Lee IK, Park JH, Lee SK, Kang WK, Cho HM, You YK, Oh ST. Single-port transumbilical laparoscopic appendectomy: 43 consecutive cases. Surg Endosc. 2010;24:2765-2769.
Romanelli JR, Mark L, Omotosho PA. Single port laparoscopic cholecystectomy with the TriPort system: a case report. Surg Innov. 2008;15:223-228.
Kroh M, Rosenblatt S. Single-port, laparoscopic cholecystectomy and inguinal hernia repair: first clinical report of a new device. J Laparoendosc Adv SurgTech A. 2009;19:215-217.
Podolsky ER, Rottman SJ, Poblete H, King SA, Curcillo PG. Single port access (SPA) cholecystectomy: a completely transumbilical approach. J Laparoendosc Adv Surg Tech A. 2009;19:219-222.
Chow A, Purkayastha S, Paraskeva P. Appendicectomy and cholecystectomy using single-incision laparoscopic surgery (SILS): the first UK experience. Surg Innov. 2009;16:211-217.
Saber AA, El-Ghazaly TH, Minnick DB. Single port access transumbilical laparoscopic Roux-en-Y gastric bypass using the SILS Port: first reported case. Surg Innov. 2009;16:343-347
Gigirey Castro O, Berlanga González L, Sánchez Gómez E. Single port thorascopic surgery using the SILS tool as a novel method in the surgical treatment of pneumothorax. Arch Bronconeumol. 2010;46:439-441.
Rothenberg SS, Shipman K, Yoder S. Experience with modified single-port laparoscopic procedures in children. J Laparoendosc Adv Surg Tech A. 2009;19:695-698.
Garcia-Henriquez N, Shah SR, Kane TD. Single-incision laparoscopic cholecystectomy in children using standard straight instruments: a surgeon’s early experience. J Laparoendosc Adv Surg Tech A. 2011;21:555-559.
Hansen EN, Muensterer OJ, Georgeson KE, Harmon CM. Single- incision pediatric endosurgery: lessons learned from our first 224 laparoendoscopic single-site procedures in children. Pediatr Surg Int. 2011;27:643-648.
Cobellis G, Torino G, Noviello C, Cruccetti A, Mastroianni L, Amici G, Martino A. Versatility of one-trocar surgery in children. J Laparoendosc Adv Surg Tech A. 2011;21:549-554.
Kozlov Y, Novozhilov V, Makhov A. Single-incision laparoscopic surgery by children at first 3 months of life. Endoscopic Surgery. 2014;2:45-55.
Rich BS, Creasy J, Afaneh C, Muensterer OJ. The international experience of single-incision pediatric endosurgery: current state of the art. J Laparoendosc Adv Surg Tech A. 2014;24:43-49.
Seims AD, Nice TR, Mortellaro VE, Lacher M, Ba’Ath ME, Anderson SA, Beierle EA, Martin CA, Rogers DA, Harmon CM, Chen MK, Russell RT. Routine utilization of single-incision pediatric endosurgery (SIPES): a 5-year institutional experience. J Laparoendosc Adv Surg Tech A. 2015;25:252-255.
Krpata DM, Ponsky TA. Instrumentation and equipment for single- site umbilical laparoscopic surgery. Semin Pediatr Surg. 2011;20:190-195.
Ponsky TA. Single port laparoscopic cholecystectomy in adults and children: tools and techniques. J Am Coll Surg. 2009;209:1-6.
Ponsky TA, Krpata DM. Single-port laparoscopy: Considerations in children. J Minim Access Surg. 2011;7:96-98.
Ateş O, Hakgüder G, Olguner M, Akgür FM. Single-port  laparoscopic appendectomy conducted intracorporeally with the aid of a transabdominal sling suture. J Pediatr Surg. 2007;42:1071-1074.
Kozlov Y, Rasputin A, Podkamenev A. First experience with use of single-incision laparoscopic pyloromyotomy at neonates: preliminary results. Russian Messenger of Pediatric Surgery. Anaesth Intens Care. 2011;2:15-20.
Kozlov Y, Novozhilov V, Rasputin A. Use og single-incision approach in treatment patients with congenital hypertrophed pyloric stenosis. Endoscopic Surgery. 2013;5:11-15.
Joshi M, Kurhade S, Peethambaram MS, Kalghatgi S, Narsimhan M, Ardhanari R. Single-incision laparoscopic splenectomy. J Minim Access Surg. 2011;7:65-67.
Chandler NM, Danielson PD. Single-incision laparoscopic cholecy- stectomy in children: a retrospective comparison with traditional laparoscopic cholecystectomy. J Pediatr Surg. 2011;46:1695-1699.
St Peter SD, Adibe OO, Juang D, Sharp SW, Garey CL, Laituri CA, Murphy JP, Andrews WS, Sharp RJ, Snyder CL, Holcomb GW, Ostlie DJ. Single incision versus standard 3-port laparoscopic appendectomy: a prospective randomized trial. Ann Surg. 2011;254:586-590.
Emami CN, Garrett D, Anselmo D, Torres M, Nguyen NX. Single- incision laparoscopic cholecystectomy in children: a feasible alternative to the standard laparoscopic approach. J Pediatr Surg. 2011;46:1909-1912.
Tsimoyiannis EC, Tsimogiannis KE, Pappas-Gogos G, Farantos  C, Benetatos N, Mavridou P, Manataki A. Different pain scores in single transumbilical incision laparoscopic cholecystectomy versus classic laparoscopic cholecystectomy: a randomized controlled trial. Surg Endosc. 2010;24:1842-1848.
Kravetz AJ, Iddings D, Basson MD, Kia MA. The learning curve with single-port cholecystectomy. JSLS. 2009;13:332-336.
Solomon D, Bell RL, Duffy AJ, Roberts KE. Single-port cholecystectomy: small scar, short learning curve. Surg Endosc. 2010;24:2954-2957.
Erbella J, Bunch GM. Single-incision laparoscopic cholecys-tectomy: the first 100 outpatients. Surg Endosc. 2010;24:1958-1961.
Curcillo PG, Wu AS, Podolsky ER, Graybeal C, Katkhouda N, Saenz A, Dunham R, Fendley S, Neff M, Copper C, Bessler M, Gumbs AA, Norton M, Iannelli A, Mason R, Moazzez A, Cohen L, Mouhlas A, Poor A. Single-port-access (SPA) cholecystectomy: a multi-institutional report of the first 297 cases. Surg Endosc. 2010;24:1854-1860.
Blanco FC, Kane TD. Single-port laparoscopic surgery in children: concept and controversies of the new technique. Minim Invasive Surg. 2012;232-347.