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Masterclass 4ème édition - ESPES, IPEG, ESPU

Enjoy the 4th edition of the Masterclass in minimally invasive pediatric surgery endorsed by the ESPES, IPEG, and ESPU. 

The opportunity for all pediatric specialists to learn more about various topics and hear the opinion of renowned international experts.

Masterclass 4th edition - ESPES, IPEG, ESPU

Мастеркласс №4 - ESPES, IPEG, ESPU

video lecture

Лапароскопический подход при ГЭРБ

Traitement laparoscopique du reflux gastro-œsophagien

In this key lecture extracted from the IRCAD advanced course "laparoscopy in newborns, infants and children" (March 14-16, 2019), Dr. Guelfand presents the laparoscopic treatment for gastroesophageal reflux.

Laparoscopic treatment for gastroesophageal reflux

Тотальная спленэктомия

In this key lecture extracted from the IRCAD advanced course "laparoscopy in newborns, infants and children" (March 14-16, 2019), Dr. Guelfand demonstrates the strategy used to perform a total splenectomy in pediatric surgery.

Total splenectomy

Splénectomie totale

In this key lecture extracted from the IRCAD advanced course "laparoscopy in newborns, infants and children" (March 14-16, 2019), Dr. Guelfand demonstrates the strategy used to manage choledochal cysts in pediatric surgery.

Choledochal cyst

Киста общего желчного протока

Kyste du cholédoque

Болезнь Гиршспрунга

Maladie de Hirschsprung

In this key lecture extracted from the IRCAD advanced course "laparoscopy in newborns, infants and children" (March 14-16, 2019), Dr. Guelfand demonstrates the strategy used to manage Hirschsprung’s disease in pediatric surgery.

Hirschsprung’s disease

Диафрагмальная грыжа Бохдалека

Hernie diaphragmatique congénitale

In this key lecture extracted from the IRCAD advanced course "laparoscopy in newborns, infants and children" (March 14-16, 2019), Dr. Guelfand demonstrates the operative strategy used to manage congenital diaphragmatic hernia (CDH) in children. 

Congenital diaphragmatic hernia

In this key introductive lecture extracted from the IRCAD advanced course "laparoscopy in newborns, infants and children" (March 14-16, 2019), Prof. Reinberg describes the laparoscopic treatment for gastroesophageal reflux (GER) in infants and children.

Laparoscopic treatment for gastroesophageal reflux (GER) in infants and children

Traitement laparoscopique du reflux gastro-œsophagien (RGO) chez le nourrisson et l’enfant

Лапароскопическое лечение ГЭРБ у новорождённых и детей

In this key lecture extracted from the IRCAD advanced course "laparoscopy in newborns, infants and children" (March 14-16, 2019), Prof. Reinberg focuses on small bowel volvulus and malrotations in pediatric surgery.

Small bowel volvulus and malrotations in children

Volvulus et malrotations intestinales chez l’enfant

Заворот тонкой кишки и мальротация кишечника у детей

Атрезия двенадцатиперстной кишки

In this key lecture extracted from the IRCAD advanced course "laparoscopy in newborns, infants and children" (March 14-16, 2019), Dr. Guelfand demonstrates the surgical management of duodenal atresia in children. 

Duodenal atresia

Atrésie duodénale

Chirurgie digestive d’alimentation

In this authoritative lecture extracted from the IRCAD advanced course "laparoscopy in newborns, infants and children" (March 14-16, 2019), Dr. Mattioli outlines feeding surgery. 

Feeding surgery 

Трахеопексия и хирургия трехеи после лечения пищеводно-трахеального свища (TEF) и PLUG по поводу диафрагмальная грыжа Бохдалека (CDH)

Trachéopexie et chirurgie trachéale après cure de fistule trachéo-œsophagienne (FTO) et pose d’un PLUG pour hernie diaphragmatique congénitale (HDC)

In this key lecture extracted from the IRCAD advanced course "laparoscopy in newborns, infants and children" (March 14-16, 2019), Dr. Mattioli focuses on tracheopexy and tracheal surgery after TEF repair and PLUG for CDH.

Tracheopexy and tracheal surgery after TEF repair and PLUG for CDH

Частичная спленэктомия

Splénectomie partielle

In this key lecture extracted from the IRCAD advanced course "laparoscopy in newborns, infants and children" (March 14-16, 2019), Dr. Becmeur demonstrates the strategy used to perform partial splenectomies in children. 

Partial splenectomy

In this key lecture extracted from the IRCAD advanced course "laparoscopy in newborns, infants and children" (March 14-16, 2019), Dr. Demarche presents Hirschsprung's disease in children.

In this key lecture extracted from the IRCAD advanced course "laparoscopy in newborns, infants and children" (March 14-16, 2019), Dr. Podevin outlines the laparoscopic vs. robotic management of anorectal malformations.

Abdomen: anorectal malformations

Abdomen : malformations anorectales

Аноректальные аномалии

Comment relever le défi de la suture endoscopique et la rendre facile

In this key introductive lecture extracted from the IRCAD advanced course "laparoscopy in newborns, infants and children" (March 14-16, 2019), Prof. Patkowski explains how to facilitate endoscopic suturing.

Endoscopic suturing is a challenge - How to make it easier

Эндоскопическое сшивание - это непростой вызов. Как упростить этот процесс? 

Торакоскопическое лечение атрезии пищевода

In this key lecture extracted from the IRCAD advanced course "laparoscopy in newborns, infants and children" (March 14-16, 2019), Prof. Patkowski describes how to repair esophageal atresia in pediatric surgery.

Thoracoscopic repair of esophageal atresia

Traitement thoracique d’une atrésie de l’œsophage

Торакоскопическое лечение атрезии пищевода с наложением внутреннего шва-держалки

Traitement thoracique d’une atrésie de l’œsophage de type II au moyen d’un fil de traction interne

In this key lecture extracted from the IRCAD advanced course "laparoscopy in newborns, infants and children" (March 14-16, 2019), Prof. Patkowski explains how to manage long-gap esophageal atresia in infants in thoracic surgery.

Thoracoscopic repair of long-gap esophageal atresia using internal traction suture

In this key lecture extracted from the IRCAD advanced course "laparoscopy in newborns, infants and children" (March 14-16, 2019), Dr. Philippe describes the laparoscopic approach to intestinal malrotation and midgut volvulus.

Laparoscopic approach to intestinal malrotation and midgut volvulus

Лапароскопия при мальротации кишечника и завороте средней кишки

Malrotation intestinale et volvulus du tube digestif : approche laparoscopique

In this key lecture extracted from the IRCAD advanced course "laparoscopy in newborns, infants and children" (March 14-16, 2019), Dr. Lopez outlines the modifications to the Nuss procedure in pediatric surgery and how to manage recurrence.

Modifications to the Nuss procedure for pectus excavatum (PE) repair and management of recurrence

Modifications de la technique de NUSS pour traiter un pectus excavatum (PE) et prise en charge des récidives

Процедура NUSS по поводу воронкообразной деформации грудной клетки (PE), контроль рецидива

In this key lecture extracted from the IRCAD advanced course "laparoscopy in newborns, infants and children" (March 14-16, 2019), Dr. Lopez focuses on thoracoscopic pericardial windows.

Thoracoscopic pericardial windows

Перикардиальное окно в торакоскопии

Fenêtres péricardiques en thoracoscopie

Ррыжа Морганьи-Ларрея

In this key lecture extracted from the IRCAD advanced course "laparoscopy in newborns, infants and children" (March 14-16, 2019), Dr. Guelfand outlines the surgical strategy used to manage Morgagni-Larrey hernias in children.

Morgagni-Larrey hernias

Hernies de Morgagni-Larrey

surgical intervention video

The accidental ingestion of caustic agents is a common problem in pediatric emergency units. These agents can cause a series of damage to the upper gastrointestinal tract and can lead to an esophageal stricture. We present the case of a 4-year-old girl who was referred to our hospital for vomiting and hematemesis after ingesting a caustic solution. Physical examination revealed tongue edema and denuded buccal mucosa. Friable mucosa and esophageal ulceration were observed in the endoscopy. The patient was administered omeprazole and a nasogastric tube was placed for a week. Two esophageal strictures were observed after 3 weeks of the ingestion. The patient underwent esophageal dilatation once or twice a month during 21 months depending on the symptoms. Due to the refractory stricture, we decided to perform an esophagectomy and tubularized gastric pull-up by combining thoracoscopy, laparoscopy, and cervicotomy. In addition, we performed a jejunostomy to provide sufficient nutritional support. The patient started feeding on postoperative day 7 and she is currently asymptomatic.

Minimally invasive surgery for esophagectomy and tubularized gastric pull-up

Chirurgie mini-invasive pour œsophagectomie et pull-up gastrique tubulaire

Малоинвазивная хирургия по поводу эзофагэктомии

Video-assisted oncological surgery should be performed in strict compliance with surgical oncology requisites: complete excision, no risk of cancer cell dissemination, and no additional operative risks. Radical surgery requirements must be respected and adjacent organs must be preserved. Our team contributed to research articles on neurogenic tumor surgery, published in international medical journals in 2007 (J Pediatr Surg, 2007; 42 (10): 1725-8 and J Laparoendosc Adv Surg Tech A 2007; 17 (6): 825-9). 

Our case study further demonstrates that the thoracoscopic resection of neurogenic tumors perfectly meets oncological surgery requirements, offering the parietal benefits of minimally invasive surgery. A magnified operative field is a major asset because it allows performing surgery safely. It is now possible to gain a perfect knowledge of the patient and tumor anatomy preoperatively by using a 3D modeling tool and preoperative CT-scan images of the patient.

Thoracoscopy for voluminous left thoracic neuroblastoma in a 2-year-old girl

Thoracoscopie pour neuroblaste thoracique gauche volumineux chez une enfant de 2 ans

Торакоскопия по поводу крупной левосторонней нейробластомы у двухлетней девочки

Субтотальная лапароскопическая спленэктомия по поводу гемолитической анемии у 5-летней девочки

Splénectomie subtotale laparoscopique pour maladie hémolytique chez une enfant de 5 ans

In case of hemolytic disease, subtotal splenectomy is an alternative to total splenectomy, the efficacy of which has been evidenced in the literature (Inter J Surg 2010;8:48-51). This procedure is particularly relevant in young children as it precludes risks of infection related to total splenectomy. Subtotal splenectomy should reduce the size of the splenic parenchyma by 80% in order to prevent recurrence and completion surgery in the short term. In 2008, we had already reported a first multicentric study on subtotal splenectomy (Surg Endosc 2008;22:45-9).

Technically, it is interesting to have access to an inconstant artery draining the superior pole of the spleen, which is then left in place (Surg Endosc 2006;21:1678). When this artery is not present, the superior pole of the spleen will be preserved as it is vascularized by one or two short vessels of the gastrosplenic omentum. 



Focus on pediatric surgery

Masterclass 4th edition - ESPES, IPEG, ESPU

Laparoscopic treatment for gastroesophageal reflux

Total splenectomy

Choledochal cyst

Hirschsprung’s disease

Congenital diaphragmatic hernia

Laparoscopic treatment for gastroesophageal reflux (GER) in infants and children

Small bowel volvulus and malrotations in children

Duodenal atresia

Feeding surgery

Tracheopexy and tracheal surgery after TEF repair and PLUG for CDH

Partial splenectomy

Hirschsprung’s disease

Abdomen: anorectal malformations

Endoscopic suturing is a challenge - How to make it easier

Thoracoscopic repair of esophageal atresia

Thoracoscopic repair of long-gap esophageal atresia using internal traction suture

Laparoscopic approach to intestinal malrotation and midgut volvulus

Modifications to the Nuss procedure for pectus excavatum (PE) repair and management of recurrence

Morgagni-Larrey hernias

Minimally invasive surgery for esophagectomy and tubularized gastric pull-up

Subtotal laparoscopic splenectomy for hemolytic disorders in a 5-year-old girl

Thoracoscopy for voluminous left thoracic neuroblastoma in a 2-year-old girl

Thoracoscopic pericardial windows