How to successfully implement a robotic pediatric surgery program: lessons learned after 96 procedures

Lambert, Guénolée de; Fourcade, Laurent; Centi, J.; Fredon, Fabien; Braik, Karim; Szwarc, C.; Longis, B.; Lardy, H.

doi:10.1007/s00464-012-2729-y

Cited by 38 publications

(39 citation statements)

References 43 publications

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“…Articles A5, A6 and A9 address the need for surgical counting of gauzes, compresses and instruments in order to maintain surgical safety by preventing inadvertent retention of compresses or instruments in surgical wounds (19,21,24) .…”

Section: Transoperative/intraoperativementioning

confidence: 99%

Nursing performance in robotic surgeries: integrative review

et al. 2019

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Objective:To know the scientific production on the performance of the nursing staff in robotic surgeries, identifying the role of the nurse in the three perioperative periods. selected articles met the inclusion criteria. Results: Most articles were published in foreign journals in English, nine in the United States, classified with evidence level of 4 and 5. The role of nursing in the perioperative period was identified, related mainly to patient safety. The most mentioned perioperative period in the articles was the intraoperative, with greater concern in the positioning of the patient. Conclusion: The nursing performance and patient safety in robotic surgeries are similar to the ones in major surgeries, requiring from the patient a specific knowledge on the setting and preparation of the robot.

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Section: Transoperative/intraoperativementioning

confidence: 99%

Nursing performance in robotic surgeries: integrative review

et al. 2019

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“…A committed and passionate pediatric urologist is required to head the robotics program . He or she must invest themselves to mastery of the gamut of pediatric robotic urological procedures, as well as community outreach, as robotic experience increases.…”

Section: Program Modelmentioning

confidence: 99%

“…Developing a robotic surgery program is associated with significant upfront costs due to the initial investment in the robotic console. 11 The operative team must begin a robotics program knowing that they will have an adequate number of cases to justify these costs and properly train a dedicated OR staff in order to efficiently use OR time. 12 Although decreased lengths of hospital stay have been suggested as having the potential to bring down overall costs, this has not been consistently shown.…”

Section: Developing the Business Planmentioning

confidence: 99%

“…Lead surgeon and intraoperative team: A committed and passionate pediatric urologist is required to head the robotics program. 11 He or she must invest themselves to mastery of the gamut of pediatric robotic urological procedures, as well as community outreach, as robotic experience increases. Those with prior robotics and extensive laparoscopic experience can avoid the initial portion of the LC and focus their efforts on acclimating the rest of the robotic team.…”

Section: Robotic Teammentioning

confidence: 99%

“…In order to actualize these benefits, it is critical to implement a well‐structured plan. This begins with the surgeon appropriately selecting patients and index cases, OR staff understanding the unique challenges of docking the robot and handling robotic instrumentation, and the hospital administration allowing ample time to document outcomes . We will discuss these factors in relation to initiation and maintenance of a successful pediatric robotic urology program.…”

Section: Introductionmentioning

confidence: 99%

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Setting up a pediatric robotic urology program: A USA institution experience

et al. 2017

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Implementing a robotic urological surgery program requires institutional support, and necessitates a comprehensive, detail-oriented plan that accounts for training, oversight, cost and case volume. Given the prevalence of robotic surgery in adult urology, in many instances it might be feasible to implement a pediatric robotic urology program within the greater context of adult urology. This involves, from an institutional standpoint, proportional distribution of equipment cost and operating room time. However, the pediatric urology team primarily determines goals for volume expansion, operative case selection, resident training and surgical innovation within the specialty. In addition to the clinical model, a robust economic model that includes marketing must be present. This review specifically highlights these factors in relationship to establishing and maintaining a pediatric robotic urology program. In addition, we share our data involving robot use over the program's first nine years

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Ten years of paediatric robotic surgery: Lessons learned

Salö

Bonnor

Granéli

et al. 2022

Robotics Computer Surgery

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Background: Costs and a low total number of cases may be obstacles to the successful implementation of a paediatric robotic surgery programme. The aim of this study was to evaluate a decade of paediatric robotic surgery and to reflect upon factors for success and to consider obstacles. Materials and Methods: All children operated on with robotic-assisted laparoscopic surgery between 2006 and 2016 were included in a retrospective, singleinstitutional study in Lund, Sweden. Results: A total of 152 children underwent robotic surgery during the study time with the most frequent procedures being fundoplication (n = 55) and pyeloplasty (n = 53). Procedure times decreased significantly during the study period. Overall, 18 (12%) of the operations were converted to open surgery, and seven (5%) patients required a reoperation. Conclusions: Despite a low volume of surgery, we have successfully introduced robotic paediatric surgery in our department. Our operative times and conversion rates are continuously decreasing.

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How to successfully implement a robotic pediatric surgery program: lessons learned after 96 procedures

Cited by 38 publications

References 43 publications

Nursing performance in robotic surgeries: integrative review

Nursing performance in robotic surgeries: integrative review

Setting up a pediatric robotic urology program: A USA institution experience

Ten years of paediatric robotic surgery: Lessons learned

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