“…Furthermore, 2 records were excluded after assessing full-text articles for eligibility, and 1 record was excluded for its NOS score ≤5 stars. Finally, 6 retrospective cohort studies with 484 patients (307 in the LA group and 177 in the RA group) were enrolled in our study [ [11] , [12] , [13] , [14] , [15] , [16] ]. Fig.…”
Section: Resultsmentioning
confidence: 99%
“…In 2006, Woo reported the first case of robotic-assisted type Ⅰ cyst excision and Roux-en-Y hepaticojejunostomy [ 4 ]. Subsequently, some reports on robotic-assisted operation had been published [ [5] , [6] , [7] , [8] , [9] , [10] , [11] , [12] , [13] , [14] , [15] , [16] ]. However, the evidence comparing the postoperative outcomes between laparoscopic operation (LA) and robotic-assisted operation (RA) is limited.…”
“…Furthermore, 2 records were excluded after assessing full-text articles for eligibility, and 1 record was excluded for its NOS score ≤5 stars. Finally, 6 retrospective cohort studies with 484 patients (307 in the LA group and 177 in the RA group) were enrolled in our study [ [11] , [12] , [13] , [14] , [15] , [16] ]. Fig.…”
Section: Resultsmentioning
confidence: 99%
“…In 2006, Woo reported the first case of robotic-assisted type Ⅰ cyst excision and Roux-en-Y hepaticojejunostomy [ 4 ]. Subsequently, some reports on robotic-assisted operation had been published [ [5] , [6] , [7] , [8] , [9] , [10] , [11] , [12] , [13] , [14] , [15] , [16] ]. However, the evidence comparing the postoperative outcomes between laparoscopic operation (LA) and robotic-assisted operation (RA) is limited.…”
“…A total Robotic-Assisted Minimally Invasive Surgery in Children DOI: http://dx.doi.org/10.5772/intechopen.96684 of 151 publications that reported 3688 procedures in 3372 patients were identified. The most reported procedures were pyeloplasty (1923), ureteral reimplantation (1120), heminephrectomy (136), and nephrectomy or nephroureterectomy (117). There were 16 countries and 48 institutions represented in this literature [6].…”
Section: Urologic Robotic Surgerymentioning
confidence: 99%
“…Since that time and up to 2019, several authors have reported cohorts of 1 to 39 pediatric patients undergoing RAS choledochal cyst resection [109]. A recent publication informed 70 cases with RAS and 70 cases by conventional laparoscopy, and concluded that RAS choledochal cyst excision and hepaticojejunostomy were associated with better short-term intraoperative and postoperative outcomes, and proved the safety and feasibility of RAS in children with choledochal cysts [117].…”
Currently, minimally invasive surgery (MIS) includes conventional laparo-thoracoscopic surgery and robot-assisted surgery (RAS) or robotic surgery. Robotic surgery is performed with robotic devices, for example the Da Vinci system from Intuitive Surgical, which has a miniaturized camera capable of image magnification, a three-dimensional image of the surgical field, and the instruments are articulated with 7 degrees of freedom of movement, and the surgeon operates in a sitting position at a surgical console near the patient. Robotic surgery has gained an enormous surge in use on adults, but it has been slowly accepted for children, although it offers important advantages in complex surgeries. The areas of application of robotic surgery in the pediatric population include urological, general surgery, thoracic, oncological, and otorhinolaryngology, the largest application has been in urological surgery. There is evidence that robotic surgery in children is safe and it is important to offer its benefits. Intraoperative complications are rare, and the frequency of postoperative complications ranges from 0–15%. Recommendations for the implementation of a pediatric robotic surgery program are included. The future will be fascinating with upcoming advancements in robotic surgical systems, the use of artificial intelligence, and digital surgery.
“…Flexible movements of robotic surgical forceps also enable minute dissections of hepatic vessels running in the hilar plates and hepatoduodenal ligament; this may be associated with favorable operative outcomes with a lower probability of open conversion in major hepatectomies and complicated hepatectomy procedures requiring hilar dissection as compared with LH [7,10,15] . Suturing with the use of multi-articulated needle holders is an obvious advantage of robot-assisted surgery over conventional laparoscopic techniques.…”
Section: Hilar Dissection and Biliary Reconstructionmentioning
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