Gasless Laparoscopic Surgery in a Children's Hospital: Clinics and Research

Tatsuo Kuroda, Morihiro Saeki, Kiyoshi Tanaka, Makoto Komura, Toshiro Honna, Miwako Nakano, Satoshi Nakagawa, Katsuyuki Miyasaka

Research output: Contribution to journalArticlepeer-review


The influence on hemodynamics and pediatric surgical feasibility of gasless laparoscopic surgery was assessed using infantile pigs prior to the clinical application in the National Children's Hospital. The gasless method showes good surgical feasibility and more stable hemodynamics compared to pneumoperitoneum method, which has been the goldstandard for laparoscopic surgery also in the pediatric field. Similar results were obtained also in the early clinical experiences of the gasless method, suggesting that the method could be most suitable for the pediatric laparoscopy-assisted surgery. Also the method was applied in the fetal endoscopic surgery as the gas/lifting hybrid method for fetal access. The potential advantages of the gasless method should be pursued in the future studies.

Original languageEnglish
Pages (from-to)665-668
Number of pages4
JournalIRYO - Japanese Journal of National Medical Services
Issue number10
Publication statusPublished - 1999 Jan
Externally publishedYes


  • fetal endoscopic surgery
  • gasless laparoscopic surgery

ASJC Scopus subject areas

  • General Medicine


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