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FALL 2004
Little People, Little Incisions
Although first developed for adults, minimally invasive surgery perhaps finds its most apt use in pediatrics. Pediatric surgeons can use small instruments to successfully perform complex, fine procedures that would require much larger incisions if performed directly by human hands. The smaller tissue disturbance also can lead to faster recovery times.
UCSF Children's Hospital is recognized around the world for pioneering the use of laparoscopic surgery in the womb environment, both on the fetus and -- in the case of twin-twin transfusion syndrome -- the placenta. But UCSF also has pioneered many laparoscopic techniques for other, more common, pediatric procedures.
"We are committed to helping our little patients, and one of the
ways to do this is to use the smallest incisions possible,"
says Dr.
Hanmin Lee, director of the Fetal Treatment Center Laboratory
and director of Minimally
Invasive Pediatric Surgery at UCSF Children's Hospital.
"Our motto is, "Little people, little incisions."
There truly is nothing more gratifying than watching a child
recover from a potentially devastating congenital anomaly
or acquired illness, and go on to lead a perfectly normal
life. It is an honor to be involved in such a noble profession,
and our group takes our responsibilities towards providing
the best possible patient care very seriously."
Lee and his colleagues -- Dr. Diana Farmer, Dr. Kerilyn Nobuhara and Dr. Michael Harrison -- are experts in the minimally invasive repair of various pediatric anomalies, including inguinal hernias, imperforate anus and Hirschsprung's disease, removal of lung masses, spleen diseases, thymic diseases, complex biliary anomalies, pectus excavatum, esophageal atresia and tracheoesophageal fistula. The UCSF group was the first from the United States to report laparoscopic repair of biliary atresia. These and other pioneering efforts keep their group at the forefront of pediatric surgery.
"People send us patients from all over the world
and we also teach courses for both fetal surgery and minimally
invasive pediatric surgery," Lee says.
The minimally invasive pediatric surgeons can be contacted at (415) 476-2538.
Fall 2004 Table of Contents
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