Laparoscopy has been performed in 120 infants and children for a variety of indications including chronic abdominal pain, debatable appendicitis, liver biopsy, biliary atresia, and abdominal trauma. A specific diagnosis was made in 71% of patients and 59% were spared laparotomy. There were one complication and four errors in interpretation (3.3%). Laparoscopy represents a considerable advantage over laparotomy in the diagnosis and management of a number of pediatric disorders and deserves wider application.
The general disappointment of Kinsey et al. with the results of a large, multicenter study of the relationship of PaO2 levels and retrolental fibroplasia (RLF) (Pediatrics 60:655, November 1977) is matched by the disappointment of the readers who had hoped to discover at last the "safe" level of PaO2 in infants to whom oxygen is being administered. Several reasons are given in the article and in subsequent discussions as to why the study failed to show any difference in PaO2 values between normal infants and those with RLF.