Minimally Invasive Versus Open Surgical Approaches in Children: Pros/Cons

Minimally invasive surgery (MIS) is a surgical approach that has rapidly changed the world of surgery in the last few decades. Its use in pediatric populations has increased with technological improvements and greater surgeon experience. However, an open approach remains a valuable option in many pediatric patients. Discussion of the pros and cons of each approach, especially to anesthesiologists, depends on a strong understanding of the physiologic effects of insufflation with MIS. Furthermore, outcomes data for pediatric specific surgeries is significant in the comparison of MIS vs open surgical approaches.