Assessment of paediatric thoracic robotic surgery

Ballouhey, Quentin; Villemagne, T.; Cros, Jérôme; Vacquerie, V.; Berenguer, D.; Braik, Karim; Szwarc, C.; Longis, B.; Lardy, H.; Fourcade, Laurent

doi:10.1093/icvts/ivu406

Cited by 41 publications

(32 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These data support that some robotic procedures are surgically feasible. Our study and others confirm the technical advantages of thoracic robotic surgery, such as precise dissection and suturing in very small spaces [20,22] , in addition to its general advantages, such as stereoscopic and magnified vision, in 3D, scale movements, tremor filtration, and the surgeon's console for operating while sitting and with total ergonomics. In addition, the articulated instruments are superior to the rigid thoracoscopic instruments in the thoracic cavity, which itself is quite rigid [22] .…”

Section: Discussionsupporting

confidence: 83%

“…However, many studies have reported that robotassisted surgery is safe and feasible for pediatric patients. RATS has previously been described as part of a series of general pediatric surgeries or a series of various thoracic pathologies [22,23,26,27] , a series of pediatric cases of specific procedures such as thymectomy for myasthenia gravis [28,29] , tracheopexy for treatment of severe tracheomalacia [30] , or as pediatric case reports on esophageal leiomyoma and bronchogenic cyst [31][32][33] .…”

Section: Discussionmentioning

confidence: 99%

“…We compared the results of two published series with ours [22,27] . The three series are comparable, due to the diversity of thoracic pathologies and procedures and the number of cases of RATS in children.…”

Section: Discussionmentioning

confidence: 99%

“…Conversion was more frequent in patients with lower weight, especially in newborns [ Table 1]. Most conversions in RATS are in children weighing less than 5 kg, and the extreme limit is 2.5 kg [22] .…”

Section: Discussionmentioning

confidence: 99%

“…Ballouhey et al [22] , in 2015, published on 11 patients treated with RATS at two pediatric surgery centers over a period of six years. Their conclusions were RATS for newborns and infants is still very challenging; these patients are not good candidates for this approach; and the most appropriate procedures are the removal of mediastinal cysts in children weighing more than 20 kg.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Thoracic surgery by minimally invasion robot-assisted in children: “experience and current status”

Navarrete-Arellano¹

2020

Mini-invasive Surg

View full text Add to dashboard Cite

Aim: We report our experience in minimally invasive thoracic robot-assisted surgery in children, and a current analysis is carried out on this topic. Methods: Observational, prospective, and longitudinal studies were performed for children with thoracic pathology treated with robotic surgery, from March 2015 to April 2019. We used the "da Vinci surgical system" (Intuitive Surgical, Inc., Sunnyvale, CA. USA). Registered variables included demographic data, diagnosis, surgery, total time, time of console surgery, bleeding, hemotransfusions, conversions, complications, postoperative (PO) stay, and follow-up. Measures of central tendency were used. Research Ethics Committee of Hospital approved the study. We conducted a detailed non-systematic review of previous publications of children undergoing thoracic robotic surgery. Results: We treated 11 children, with average age of 5.7 years and weight of 21.3 kg. Diagnosis were: congenital cystic adenomatoid malformation, intralobar sequestration, diaphragmatic paralysis, diaphragmatic eventration, mediastinal teratoma, Ewing's tumor of the fourth left rib, and pulmonary tuberculosis. Surgeries performed were: four lobectomies, four diaphragmatic plications, two tumor resections, and a case of pleural and lung biopsies. The average of console surgery time was 166.45 min, PO stay was 3.6 days, and follow-up was 24.7 months. Conversions and PO complications were 9.1%, and there were no intraoperative complications and mortality. Currently, the number of children treated with thoracic robot-assisted surgery has barely reached 100 cases. Conclusion: Our results are encouraging, although our experience is limited to a few cases. Robotic surgery for the treatment of thoracic pathology is feasible and safe, and has advantages. To date, very few patients have been treated, and few pediatric surgeons worldwide have applied thoracic robotic surgery in children.

show abstract

Section: Discussionsupporting

confidence: 83%