Complications of Robotic Surgery in Pediatric Urology: A Single Institution Experience

Bansal, Danesh; DeFoor, William; Reddy, Pramod; Minevich, Eugene; Noh, Paul H.

doi:10.1016/j.urology.2013.05.046

Cited by 27 publications

(16 citation statements)

References 10 publications

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“…In another study by Barbosa et al [9] comparable success rates were reported for RALP, and open surgery groups, while longer operative times were indicated for the RALP group. In a series of 66 cases Bansal et al [10] reported ileus in 2, port site infection in 2, urine leakage in 1, and stent migration in 1 patient In our series 6 patients were successfully treated without any complication. Despite our limited number of patients in our series, operative time, complication rates, and hospital stay were in compliance with the literature.…”

Section: Discussionsupporting

confidence: 49%

Our experiences with robot- assisted laparoscopic surgery in pediatric patients: the first case series from Turkey

Kïbar

Yalçın

Kaya

et al. 2017

Turkish Journal of Urology

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Objective: Robotic surgery is a leading treatment option for minimally invasive surgery and has an increasing popularity in pediatric population, as well. In this article, we reported our case series of robot-assisted laparoscopic surgery in pediatric population. Material and methods:We retrospectively reviewed 29 consecutive pediatric patients who underwent robot-assisted procedures between May 2014 and October 2016. Patient demographics, hospitalization time, estimated blood loss, robotic time and total operative and peri-, and post-operative complications were evaluated.Results: A total of 24 ureter units (18 patients) with grade 1-5 vesicoureteral reflux in 13 female and 5 male, 1 male patient with vesicoureteral stenosis were underwent robot-assisted laparoscopic ureteral reimplantation (RALUR). All patients had complete resolution after surgery. Robot-assisted laparoscopic pyeloplasty (RALP) was performed in 6 patients with ureteropelvic junction obstruction. All patients had complete resolution after surgery. Completely intracorporeal robotic assisted laparoscopic augmentation ileocystoplasty (RLAIC) was applied to two patients with neurogenic bladder. The symptoms and preoperative hydronephrosis were regressed on the first month of follow-up. Robot-assisted laparoscopic reduction cystoplasty (RALRC) was performed in 14-year-old boy with a bladder diverticula and recurrent urinary tract infection. The last case was eleven-year-old female patient with non-functioning kidney. She had recurrent urinary tract infections and was treated with robotic assisted laparoscopic nephrectomy (RALN). Conclusion:Robot-assisted laparoscopic surgery is safe and efficient in pediatric population. Although open surgery is still the gold standard for many pediatric diseases, inherent reconstructive advantages of robotic assisted laparoscopy have a chance to change this view.

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Section: Discussionsupporting

confidence: 49%

Our experiences with robot- assisted laparoscopic surgery in pediatric patients: the first case series from Turkey

Kïbar

Yalçın

Kaya

et al. 2017

Turkish Journal of Urology

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“…Most of the pediatric robotic studies published to date describe procedures in school‐aged children and adolescents . Small children, however, represent a large number of surgical cases as a result of the frequency of prenatal diagnosis.…”

Section: Introductionmentioning

confidence: 99%

Partial nephrectomy for small children: Robot‐assisted versus open surgery

et al. 2017

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“…A recent single-institution study reported a low complication rate for pediatric robotic procedures. [31] In the US, a review of the Food and Drug Administration manufacturer and user facility device experience database reported on a significant, and likely underreported, number of robotic arm failures. [32] Ultimately, it will be incumbent upon surgeons to recognize and openly manage robotic complications to maintain patient trust in the system.…”

Section: Procedural Applications and Outcomesmentioning

confidence: 99%

Pediatric robotic urologic surgery-2014

Kearns

Gundeti

2014

J Indian Assoc Pediatr Surg

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We seek to provide a background of the current state of pediatric urologic surgery including a brief history, procedural outcomes, cost considerations, future directions, and the state of robotic surgery in India. Pediatric robotic urology has been shown to be safe and effective in cases ranging from pyeloplasty to bladder augmentation with continent urinary diversion. Complication rates are in line with other methods of performing the same procedures. The cost of robotic surgery continues to decrease, but setting up pediatric robotic urology programs can be costly in terms of both monetary investment and the training of robotic surgeons. The future directions of robot surgery include instrument and system refinements, augmented reality and haptics, and telesurgery. Given the large number of children in India, there is huge potential for growth of pediatric robotic urology in India. Pediatric robotic urologic surgery has been established as safe and effective, and it will be an important tool in the future of pediatric urologic surgery worldwide.

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Complications of Robotic Surgery in Pediatric Urology: A Single Institution Experience

Cited by 27 publications

References 10 publications

Our experiences with robot- assisted laparoscopic surgery in pediatric patients: the first case series from Turkey

Our experiences with robot- assisted laparoscopic surgery in pediatric patients: the first case series from Turkey

Partial nephrectomy for small children: Robot‐assisted versus open surgery

Pediatric robotic urologic surgery-2014

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