Robotic Surgery

Paediatric Minimal Access Surgery

Paediatric Minimal Access Surgery (MAS)

Paediatric Minimal Access Surgery (MAS), also known as paediatric minimally invasive surgery, refers to surgical procedures performed through tiny 5mm incisions using specialized instruments and a telescope camera which enter into the patient’s abdomen through these incisions. These procedures are less invasive than traditional (open) surgeries and are commonly used in paediatric urology, paediatric general surgery, thoracic surgery, and more.

Advantages of Paediatric Minimal Access Surgery

  • Smaller incisions → Less pain
  • Shorter hospital stay
  • Faster recovery
  • Reduced scarring
  • Lower risk of wound infections
  • Better cosmetic and psychological outcomes (important in children)

Types of Paediatric Minimal Access Surgery

Type Description
Laparoscopy Surgery performed in the abdomen or pelvis via small incisions using a laparoscope
Thoracoscopy Minimally invasive surgery in the chest cavity
Retroperitoneoscopy Accesses organs behind the peritoneum (e.g. kidneys, adrenal glands)
Robotic Surgery Uses robotic arms controlled by the surgeon for precise movements (used in select centres)

Common Paediatric Urology Procedures Done with MAS

Condition Procedure Approach
Pelviureteric junction (PUJ) obstruction Pyeloplasty Laparoscopic or robotic
Non functioning kidney Nephrectomy Laparoscopic or Robotic
Undescended testis (non-palpable) Orchiopexy Laparoscopic
Vesicoureteral reflux (VUR) Ureteric reimplantation Laparoscopic or open
Hydrocele/hernia Herniotomy Laparoscopic (especially bilateral)
Renal/ureteric stones Stone removal (e.g. ureteroscopy, laparoscopic pyelolithotomy) Endoscopic or laparoscopic
Bladder augmentation or reconstruction Augmentation cystoplasty Open or laparoscopic (select cases)