Children · 13 authors, 8 centres
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This pediatric case series evaluates a multidisciplinary management pathway using endoscopic ultrasound, ERCP, and minimally invasive surgery for congenital biliary malformations. The central finding is that an integrated approach, sometimes supplemented by preoperative virtual reality for surgical planning, is necessary for tailored treatment in children.
The study reports on a series of 12 pediatric patients with congenital biliary malformations managed over three years at a single center. Virtual Reality Head Mounted Display (VR HMD) was used in 4 complex cases for preoperative anatomical visualization and team simulation. The authors describe that EUS aided in differential diagnosis and anatomical definition, while ERCP had variable technical feasibility. MIS, particularly LCBDE, was highlighted as a key component for definitive treatment. The implications suggest that a dedicated pediatric multidisciplinary team and advanced technologies like VR can improve surgical planning and outcomes for complex congenital conditions in children.
