Robotic Soave pull-through procedure for Hirschsprung’s disease in children under 12-months: long-term outcomes

Delgado-Miguel, Carlos; Camps, Juan

doi:10.1007/s00383-021-05018-6

Cited by 22 publications

(18 citation statements)

References 26 publications

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“…The duration of the procedure is generally associated with more complex cases as reported by Pini Prato et al (34) , who reached 420 minutes in their study of Soave pullthrough in cases of Hirschsprung's disease. However, in these cases, the robotic approach increases the precision of perirectal dissection and is accessible even in infants younger than 12 months, as described in the study by Delgado and Camps (35) -although they used the Da Vinci Si system, which allows 5 mm ports to be used. Pediatric pathologies treated with minimally invasive robotic surgery have progressively increased, and there are important studies of more complex procedures such as common bile duct cyst resection with robotic hepaticoduodenostomy reconstruction (36) .…”

Section: Discussionmentioning

confidence: 99%

Implementing a pediatric robotic surgery program: future perspectives

Beauregard¹,

García²,

Amillo³

et al. 2022

Cir Pediatr

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The minimally invasive approach using robotic technology is fully incorporated in the treatment of adult pathologies.The first international pediatric studies with a robotic approach date from 2002, and in Spain, from 2009. We present the implementation of a Pediatric Robotic Surgery program in our setting. Materials and methods.A proposal for the application of robotic technology in pediatrics was developed, and after the acquisition of a Da Vinci Xi system at our center, a program was initiated under the guidance of a pediatric surgeon experienced in this approach.Results. 32 patients with a median age of 12 years (7 months-17 years) have been operated on since January 2019. 56% of the procedures were abdominal. 3 thoracic approaches and 11 urologic procedures were carried out. 1 conversion to open surgery was performed during a fundoplication. The median combined duration of abdominal and thoracic approaches was 155 minutes (70-380 minutes). There were no anesthetic or hemodynamic complications. The postoperative period in the cases in which the procedure was completed was uneventful, and patients were discharged after a median of 2 days (1-16 days). Conclusion.The main advantage of robotic procedures is the symmetrical movement in line with the surgeon's hands, which makes the learning curve shorter. In our experience, the robotic approach has allowed for greater precision in the surgical technique, favoring the patient's recovery.

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Section: Discussionmentioning

confidence: 99%

Implementing a pediatric robotic surgery program: future perspectives

Beauregard¹,

García²,

Amillo³

et al. 2022

Cir Pediatr

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“…Prospective studies of small samples found that Soave surgery performed by RAS could be successfully completed without intraoperative complications, and the incidence of postoperative complications was significantly reduced 36. Long-term follow-up results also showed that robot-assisted Soave procedure can be used for the treatment of infant HSCR, which is safe, efficient and has a good long-term prognosis 37.…”

Section: Application Of Ras In Pediatric Surgerymentioning

confidence: 98%

“…It is superior to laparoscopy and laparotomy in avoiding sphincter injury and reducing complications but requires a skilled and excellent team to perform the operation 37. At the same time, with the accumulation of operational experience and improvement of technical level, the age of children treated by robotic surgery for HSCR is getting younger and younger 36 37. The developmental advantages and potential of robotic surgery in the treatment of HSCR still need to be further verified by more prospective studies.…”

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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“…(34) , llegando a 420 minutos en su serie de descenso tipo Soave en casos de enfermedad de Hirschsprung. Sin embargo, en estos casos, el abordaje robótico incrementa la precisión de la disección perirrectal y es accesible aún en lactantes menores de 12 meses, como describen en su serie Delgado y Camps (35) , aunque estos autores utilizaron la plataforma Da Vinci Si que permite puertos de 5 mm.…”

Section: Materials Fungible Da Vinci Cirugía De Disección: Tumor Abdo...unclassified

Implementación de un programa de cirugía robótica pediátrica. Perspectivas futuras

Beauregard¹,

García²,

Amillo³

et al. 2022

Cir Pediatr

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ResumenIntroducción. El abordaje mínimamente invasivo empleando tecnología robótica está plenamente incorporado a la patología del adulto.Las primeras series pediátricas internacionales con abordaje robótico datan del año 2002 y en España del 2009. Presentamos la implementación de un programa de Cirugía Robótica Pediátrica en nuestro centro.Material y método. Se elaboró una propuesta de aplicación de la tecnología robótica en el área pediátrica y tras la adquisición de una plataforma Da Vinci Xi en nuestro centro, se procedió al inicio del programa bajo la tutorización de un cirujano pediátrico experimentado en este abordaje.Resultados. Se han intervenido 32 pacientes con una mediana de edad de 12 años (7 meses-17 años) desde enero de 2019. El 56% de los procedimientos fueron abdominales. Se realizaron tres abordajes torácicos y 11 procedimientos urológicos. Se realizó una conversión a cirugía abierta durante una fundoplicatura. La mediana de la duración en conjunto de los abordajes abdominales y torácicos fue de 155 minutos (70-380 minutos). No hubo complicaciones anestésicas ni hemodinámicas. El postoperatorio en los casos en los que se concluyó el procedimiento no presentó incidencias y el alta se realizó con una mediana de 2 días (1-16 días).Conclusión. La principal ventaja de los procedimientos robóticos es el movimiento simétrico en línea con las manos del cirujano, lo que hace que la curva de aprendizaje sea más corta. En nuestra experiencia, el abordaje robótico nos ha permitido una mayor precisión en la técnica quirúrgica favoreciendo la recuperación del paciente.

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Robotic Soave pull-through procedure for Hirschsprung’s disease in children under 12-months: long-term outcomes

Cited by 22 publications

References 26 publications

Implementing a pediatric robotic surgery program: future perspectives

Implementing a pediatric robotic surgery program: future perspectives

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

Implementación de un programa de cirugía robótica pediátrica. Perspectivas futuras

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