Robot-assisted anorectal pull-through for anorectal malformations with rectourethral and rectovesical fistula: feasibility and short-term outcome

Chang, Xiaopan; Cao, Guoqing; Pu, Jiarui; Li, Shuai; Zhang, Xi; Tang, Shaotao

doi:10.1007/s00464-021-08473-3

Cited by 11 publications

(12 citation statements)

References 29 publications

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“…considered that robotic‐assisted surgery may be particularly suitable for intrathoracic tumour resection in children, 10 but its application in smaller children, especially children under 5 years old, is still limited. We used an asymmetric port distribution technique to shorten the distance between the camera and operating port in robotic‐assisted mediastinal tumour surgery 11–14 . After the introduction of the instrument, the trocar was placed outside the patient so that the instrument had additional operation space.…”

Section: Discussionmentioning

confidence: 99%

“…We used an asymmetric port distribution technique to shorten the distance between the camera and operating port in robotic-assisted mediastinal tumour surgery. [11][12][13][14] After the introduction of the instrument, the trocar was placed outside the patient so that the instrument had additional operation space. In addition, we successfully placed trocars on the chest wall by gradually expanding the intercostal space.…”

Section: Discussionmentioning

confidence: 99%

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Robotic resection of paediatric solid tumours at a single institution

Liu

et al. 2023

Robotics Computer Surgery

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Background: To explore the clinical application of robotic-assisted surgery in paediatric solid tumours and to explore its feasibility.Methods: From 2015 to 2022, 53 children with solid tumours underwent roboticassisted surgery in our centre were retrospectively analysed. Results:The mean weight of the patients was 27.7 kg, and the mean age was 6.7 years. The average tumour volume was 5.5*4.6*3.7 cm. Two procedures (3.8%) were converted. The mean total operative time was 198.5 min. The mean estimated blood loss was 27.1 ml, and no intraoperative complications occurred. Two (3.8%) patients had postoperative complications. At a median follow-up of 21.2 months, one (1.9%) patient with malignant tumours stopped treatment, and two (3.8%) patients developed tumour recurrence.Conclusions: Robotic-assisted tumour resection is feasible in highly selected cases of young age, light weight, huge tumour or malignant tumour. K E Y W O R D S paediatric, robotic-assisted surgery, solid tumour 1 | INTRODUCTION Minimally invasive surgery (MIS) is globally applied, and it is also widely utilised in children. Robotic-assisted surgery has been used in children in recent years, and many studies have shown its potential advantages of this surgery for patients compared to conventional minimally invasive surgery. Robotic-assisted surgery has also been introduced in the treatment of paediatric solid tumours. 1-3 In 2002, Gutt et al. reported early experiences of robotic-assisted surgery in a child with gonadoblastoma. 4 Cundy et al. published a systematic review of robot-assisted minimally invasive surgery for paediatric solid tumours in 2014. 5 Meignan et al. reported a retrospective analysis of robotic-assisted surgery for paediatric tumours in 2017. 6The current robotic surgery system is designed for adults; moreover, paediatric tumour resection must also abide by oncology principles such as complete tumour resection, the complete removal of tumour specimens and the avoidance of tumour metastasis and dissemination. Some scholars believe that robotic-assisted surgery is risky for children who are young, have a low weight, or have large tumours. In summary, the use of robotic-assisted surgery is limited due to the constraints of tumour surgery principles, age, weight, tumour size, etc. Consequently, the progress of minimally invasive surgery and robotic-assisted surgery for malignant solid tumours in children is proceeding slowly, and there are currently no adequate studies on robotic-assisted surgery in the treatment of paediatric solid tumours.Since the da Vinci robotic surgery system was introduced to our centre in 2015, we have performed robotic-assisted surgery in the treatment of congenital diseases such as choledochal cysts and Hirschsprung's disease, and we performed the first robotic-assisted thoracoscopic mediastinal tumour resection in mainland China in June 2015. As of August 2022, robot-assisted surgery has been completed for 53 paediatric solid tumours in our centre, and the objective of this study was to present our experi...

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Robotic resection of paediatric solid tumours at a single institution

Liu

et al. 2023

Robotics Computer Surgery

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“…As a result of the advantages provided by robots, they might be helpful in a narrow space, especially in the small pelvic cavity of infants. Some case reports and series documented successful robotic surgery for anorectal malformations (ARMs) with a rectovesical or rectourethral fistula ( 48 ). A large cohort of 17 infants with ARMs attained favorable continence and defecation functions after robot-assisted anorectal pull-through (RAARP), which was suspected with minimal damage to perirectal nerves and external sphincters provided by the robotic system.…”

Section: Distinctive Robotic Surgeries For Pediatric Patientsmentioning

confidence: 99%

Robotic-assisted surgery in the pediatric surgeons’ world: Current situation and future prospectives

Hong

Tang

2023

Front. Pediatr.

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Robotic-assisted surgery has been fully embraced by surgeons for the adult population; however, its acceptance is too slow in the world of pediatric surgeons. It is largely due to the technical limitations and the inherent high cost associated with it. In the past two decades, indeed, there has been considerable advancement in pediatric robotic surgery. A large number of surgical procedures were performed on children with the assistance of robots, even with comparative success rates to standard laparoscopy. As a newly developing field, it still has many challenges and obstacles. This work is centered on the current status and progression of pediatric robotic surgery as well as the future perspectives in the field of pediatric surgery.

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“…The advantages of robotic pelvic floor anatomy are also conducive to the accurate dissection of fistulas in children with ARM complicated with rectourethral fistula. The robot provides good visualization of the depth of the pelvis while improving reconstruction techniques with excellent dexterity and precision of motion, minimizing nerve around rectum and sphincter trauma and reducing complications, which is important in the surgical treatment of ARMs 38 39. In 2016, Ruiz et al reported a case of a child with anal atresia treated by RAS 15.…”

Section: Application Of Ras In Pediatric Surgerymentioning

confidence: 99%

“…The robot provides good visualization of the depth of the pelvis while improving reconstruction techniques with excellent dexterity and precision of motion, minimizing nerve around rectum and sphincter trauma and reducing complications, which is important in the surgical treatment of ARMs. 38 39 In 2016, Ruiz et al reported a case of a child with anal atresia treated by RAS. 15 The operation was successfully completed without any complications, and the child was discharged from the hospital on the 6th day after the operation and had a good follow-up result.…”

Section: Application Of Ras In Pediatric Surgerymentioning

confidence: 99%

Application and prospects of robotic surgery in children: a scoping review

Shen

Tou

2022

World Jnl Ped Surgery

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As an innovative minimally invasive surgical technology, robot-assisted surgery (RAS) has greatly improved the accuracy and safety of surgery through the advantages of three-dimensional magnification, tremor filtering, precision and flexibility, and has been carried out by an increasing number of surgeries. In recent years, robots have been gradually applied to children, bringing new ideas and challenges to pediatric surgeons. This review will describe the advantages and limitations of robotic surgery in children, summarize its application in pediatric surgery, and provide an outlook. It is believed that clinicians should actively carry out RAS under the premise of rigorously ensuring surgical indications and strive to improve the efficacy of surgical treatment for children.

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Robot-assisted anorectal pull-through for anorectal malformations with rectourethral and rectovesical fistula: feasibility and short-term outcome

Cited by 11 publications

References 29 publications

Robotic resection of paediatric solid tumours at a single institution

Robotic resection of paediatric solid tumours at a single institution

Robotic-assisted surgery in the pediatric surgeons’ world: Current situation and future prospectives

Application and prospects of robotic surgery in children: a scoping review

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