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Transumbilical Laparoscopic-Assisted (TULA) Surgery for Treating Abdominal Pathologies in Newborns: A Retrospective Single-Center Experience

Title: Transumbilical Laparoscopic-Assisted (TULA) Surgery for Treating Abdominal Pathologies in Newborns: A Retrospective Single-Center Experience
Authors: Giada Loria; Roberta Aurora Aversa; Alessandra Fichera; Agnese Bartolone; Vincenzo Di Benedetto; Maria Grazia Scuderi
Source: Children ; Volume 13 ; Issue 3 ; Pages: 338
Publisher Information: Multidisciplinary Digital Publishing Institute
Publication Year: 2026
Collection: MDPI Open Access Publishing
Subject Terms: neonatal surgery; minimally invasive surgery; transumbilical; TULA; laparoscopic-assisted surgery; pediatric surgery
Description: Background: Transumbilical laparoscopic-assisted (TULA) surgery is a minimally invasive technique that combines laparoscopic exploration with extracorporeal surgical management, offering potential advantages in neonatal abdominal surgery. However, comparative data with conventional open surgery in neonates remain limited. This study reports our single-center experience with TULA and compares its outcomes with those of a matched cohort of neonates undergoing open surgery. Methods: We performed a retrospective study on neonatal patients ( 0.05). No mortality was reported. Conclusions: TULA represents a safe and effective surgical option for selected neonatal abdominal pathologies, with outcomes comparable to conventional open surgery. When performed in specialized centers with appropriate patient selection and multidisciplinary expertise, TULA offers favorable safety and cosmetic results.
Document Type: text
File Description: application/pdf
Language: English
Relation: Pediatric Surgery; https://dx.doi.org/10.3390/children13030338
DOI: 10.3390/children13030338
Availability: https://doi.org/10.3390/children13030338
Rights: https://creativecommons.org/licenses/by/4.0/
Accession Number: edsbas.6051DCA7
Database: BASE