Current Trends in Pediatric Robotic Surgery

Garcia, Isabella; Armas, Ismael A. Salas de; Pimpalwar, Ashwin

doi:10.3329/bje.v2i1.19589

Cited by 13 publications

(19 citation statements)

References 120 publications

(153 reference statements)

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“…The period during which a surgeon finds that the procedures are more difficult, take longer, and there is potentially a higher rate of complications and less effectiveness due to inexperience, which is called the learning curve (60). The use of robot assistance dramatically decreases the learning curve, because overcome the limitations of conventional laparoscopy (31, 38–40). Our console surgery times have evolved in 19 pyeloplasties and in 26 fundoplications, with a decrease of 50% and of almost 52%, respectively.…”

Section: Discussionmentioning

confidence: 99%

“…Trends in the literature indicate that pediatric robot-assisted minimally invasive surgery is continuing to be globally utilized (15–23, 31–34). Numerous case reports, case series, and comparative studies have unequivocally demonstrated that robotic surgery in children is safe (35).…”

Section: Introductionmentioning

confidence: 99%

“…If traditional laparoscopy is used, the reconstructive procedures are very challenging, and long periods of time are necessary to acquire the appropriate skills and confidence, vs. with RALS (robot-assisted laparoscopic surgery), the learning curve is shorter (31, 38–40).…”

Section: Introductionmentioning

confidence: 99%

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Robot-Assisted Laparoscopic and Thoracoscopic Surgery: Prospective Series of 186 Pediatric Surgeries

Arellano

González

2019

Front. Pediatr.

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Objective: We present the applications and experiences of robot-assisted laparoscopic and thoracoscopic surgery (RALTS) in pediatric surgery. Materials and Methods: A prospective, observational, and longitudinal study was conducted from March 2015 to March 2018 that involved a non-random sample of a pediatric population that was treated with RALTS. The parameters examined were: gender, age, weight, height, diagnoses, surgical technique, elapsed time of console surgery, estimated bleeding, need for hemotransfusion, complications, surgical conversions, postoperative hospital stay, and follow-up. The Clavien-Dindo classification of complications was used. The surgical system used was the da Vinci model, Si version (Intuitive Surgical, Inc., Sunnyvale, CA. U.S.A), with measures of central tendency. Results: In a 36-months period, 186 RALTS cases were performed, in 147 pediatric patients and an adult; 53.23% were male, and the remaining were female. The average age was 83 months, ranging from 3.5 to 204 months, plus one adult patient of 63 years. The stature was an average of 116.6 cm, with a range of 55–185 cm; the average weight was 26.9 kg, with a range of 5–102 kg; the smallest patient at 3.5 months was 55 cm in stature and weighed 5.5 kg. We performed 41 different surgical techniques, grouped in 4 areas: urological 91, gastrointestinal and hepatobiliary (GI-HB) 84, thoracic 6, and oncological 5. The console surgery time was 137.2 min on average, ranging from 10 to 780 min. Surgeon 1 performed 154 operations (82.8%), and the remainder were performed by Surgeon 2, with a conversion rate of 3.76%. The most commonly performed surgeries were: pyeloplasty, fundoplication, diaphragmatic plication, and removal of benign tumors, by area. Hemotransfusion was performed for 4.83%, and complications occurred in 2.68%. The average postoperative stay was 2.58 days, and the average follow-up was 23.5 months. The results of the 4 areas were analyzed in detail. Conclusion: RALTS is safe and effective in children. An enormous variety of surgeries can be safely performed, including complex hepatobiliary, and thoracic surgery in small children. There are few published prospective series describing RALTS in the pediatric population, and most only describe urological surgery. It is important to offer children the advantages and safety of minimal invasion with robotic assistance; however, this procedure has only been slowly accepted and utilized for children. It is possible to implement a robust program of pediatric robotic surgery where multiple procedures are performed.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Robot-Assisted Laparoscopic and Thoracoscopic Surgery: Prospective Series of 186 Pediatric Surgeries

Arellano

González

2019

Front. Pediatr.

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“…If conventional laparoscopy is used, the reconstructive and complex procedures are very challenging, and long periods of time are necessary to acquire the appropriate skills and confidence, vs. robotic surgery, the learning curve is shorter [25][26][27][28].…”

Section: Introductionmentioning

confidence: 99%

Robotic-Assisted Laparoscopic Redo Nissen Fundoplication. Does it Offer Advantages in Children?

Arellano¹

2019

AJPN

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“…The benefits include the optimisation of resources in health systems and, regarding patients, shorter and less painful post-operative care, less tissue trauma, shorter hospital stays and faster recovery, allowing for a swifter return to daily life [1][2][3][4]. However, MIS also has some drawbacks [5,6], mainly related to spatial and technical limitations, that must be addressed with tremendous specialised training in specific MIS skills.…”

Section: Introductionmentioning

confidence: 99%

Validation of the three web quality dimensions of a minimally invasive surgery e-learning platform

Morán

Pagador

Sánchez-Peralta

et al. 2017

International Journal of Medical Informatics

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According to the study, it seems that TELMA had an attractive design, innovative content and interactive navigation, which are three key features of an e-learning platform. TELMA successfully met the three criteria necessary for consideration as a website of quality by achieving more than 70% of agreements regarding all usability, content and functionality items validated; this constitutes a preliminary requirement for an effective e-learning platform. However, the content completeness, authoring tool and registration process required improvement. Finally, the e-MIS validity methodology used to measure the three dimensions of web quality in this work can be applied to other clinical areas or training fields.

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Current Trends in Pediatric Robotic Surgery

Abstract: Not available.

Cited by 13 publications

References 120 publications

Robot-Assisted Laparoscopic and Thoracoscopic Surgery: Prospective Series of 186 Pediatric Surgeries

Robot-Assisted Laparoscopic and Thoracoscopic Surgery: Prospective Series of 186 Pediatric Surgeries

Robotic-Assisted Laparoscopic Redo Nissen Fundoplication. Does it Offer Advantages in Children?

Validation of the three web quality dimensions of a minimally invasive surgery e-learning platform

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