Revolutionary Thoracoscopic Surgery for Newborns at Hospital Universitario de Canarias

The Hospital Universitario de Canarias (HUC) has achieved a remarkable milestone in paediatric surgery by successfully conducting minimally invasive thoracoscopic procedures on two newborns, aimed at correcting complex oesophageal malformations. This pioneering approach marks a significant advancement in the field of neonatal surgery, showcasing the hospital’s commitment to providing cutting-edge medical care.

Breakthrough in Minimally Invasive Surgical Techniques

This innovative surgical technique represents the first instance of thoracoscopic surgery being performed at HUC. The procedure is characterized by the use of small incisions, which allow surgeons to access the thoracic cavity with minimal disruption to surrounding tissues. A five-millimetre camera is employed alongside three-millimetre surgical instruments, which significantly reduces surgical trauma and postoperative discomfort for the patients. The benefits of this approach are manifold; not only does it enhance recovery times, but it also diminishes the risk of long-term complications that are often associated with traditional open surgery methods.

Impressive Outcomes in Paediatric Surgical Interventions

The paediatric surgery team at HUC has a proven track record of success with minimally invasive techniques, having previously treated a variety of thoracic malformations in children and adolescents. Their expertise encompasses a wide range of conditions affecting the chest wall and lungs, as well as critical neonatal issues such as hypertrophic pyloric stenosis, diaphragmatic hernia, and intestinal malrotation. The recent surgeries performed to address oesophageal atresia have yielded swift recoveries, with no complications reported, underscoring the effectiveness of this advanced surgical approach.

Complex Surgical Challenges and Solutions

In one notable case, a two-stage surgical approach was required due to the significant distance between the ends of the oesophagus, rendering a single operation impractical. The initial stage involved carefully retracting the oesophageal ends, which was followed by a subsequent procedure to connect them. This innovative intervention is a testament to the years of specialization and training within the paediatric surgery department, which is staffed by a dedicated team of eight specialists, including a section head who oversees the surgical processes.

Collaborative Care: A Multidisciplinary Approach

The success of these intricate surgeries can be largely attributed to the collaborative efforts of a multidisciplinary team. This team includes experts in paediatric anaesthesia, nursing, and paediatrics, all working in concert to ensure optimal outcomes for the patients. Since 2021, the paediatric surgery service at HUC has undergone significant expansion, now catering to the entire province of Santa Cruz de Tenerife through both the Hospital Universitario de Canarias and the Hospital Universitario Nuestra Señora de Candelaria. Furthermore, outpatient services have recently been extended to the Hospital Universitario de La Palma, enhancing accessibility to specialized care for families across the region.

Future Implications for Paediatric Surgery

The introduction of thoracoscopic surgery for newborns not only represents a significant advancement in surgical techniques but also sets a precedent for future medical practices within the field of paediatric surgery. As hospitals continue to adopt minimally invasive methods, the potential for improved patient outcomes and reduced recovery times becomes increasingly apparent. The commitment of the Hospital Universitario de Canarias to embrace innovation in surgical procedures reflects a broader trend in healthcare, where patient safety and comfort are prioritized.

Key points

• The Hospital Universitario de Canarias performed its first minimally invasive thoracoscopic surgeries on newborns.
• The procedures corrected oesophageal malformations using small incisions and specialized instruments.
• Minimally invasive techniques reduce surgical trauma and postoperative pain.
• The paediatric surgery team has successfully treated various neonatal conditions.
• One newborn required a two-stage surgery due to the distance between the oesophageal ends.
• The service has expanded its reach across Santa Cruz de Tenerife since 2021.
• A multidisciplinary team contributed to the success of these surgical interventions.