As many meta-analyses comparing pediatric minimally invasive to open surgery can be found in the literature, the aim of this review is to summarize the current state of minimally invasive pediatric surgery and specifically focus on the trends and developments which we expect in the upcoming years. Print and electronic databases were systematically searched for specific keywords, and cross-link searches with references found in the literature were added. Full-text articles were obtained, and eligibility criteria were applied independently. Pediatric minimally invasive surgery is a wide field, ranging from minimally invasive fetal surgery over microlaparoscopy in newborns to robotic surgery in adolescents. New techniques and devices, like natural orifice transluminal endoscopic surgery (NOTES), single-incision and endoscopic surgery, as well as the artificial uterus as a backup for surgery in preterm fetuses, all contribute to the development of less invasive procedures for children. In spite of all promising technical developments which will definitely change the way pediatric surgeons will perform minimally invasive procedures in the upcoming years, one must bear in mind that only hard data of prospective randomized controlled and double-blind trials can validate whether these techniques and devices really improve the surgical outcome of our patients.

中文翻译：

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儿科微创外科的进展与趋势

由于在文献中可以找到许多比较小儿微创与开腹手术的荟萃分析，因此本综述的目的是总结微创小儿外科的现状，并特别关注未来几年的趋势和发展。 。系统地搜索印刷和电子数据库中的特定关键字，并添加与文献中找到的参考文献的交叉链接搜索。获得了全文文章，并分别应用了资格标准。儿科微创手术是一个广阔的领域，从新生儿的微腹腔镜微创胎儿手术到青少年的机器人手术。新技术和设备，例如自然孔腔内镜手术（NOTES），单切口和内镜手术，以及人工子宫作为早产胎儿手术的后备力量，所有这些都为儿童侵入性较小的手术的发展做出了贡献。尽管所有有前途的技术发展必将改变儿科医生在未来几年中执行微创手术的方式，但必须记住，只有前瞻性随机对照和双盲试验的硬性数据才能验证这些技术和设备是否有效。真正改善了我们患者的手术效果。