Surgical Management of Hirschsprung's Disease: A Comparative Study Between Conventional Laparoscopic Surgery, Transumbilical Single-Site Laparoscopic Surgery, and Robotic Surgery

Li, Wei; Lin, Mei-Ying; Hu, Hai; Sun, Quanfeng; Cheng, Shijie; Wang, Congjun; Li, Yanqiang; Li, Yong; Chen, Jiabo; Luo, Yige

doi:10.3389/fsurg.2022.924850

Cited by 8 publications

(12 citation statements)

References 20 publications

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“…After removing duplicates and title and abstract screening, 35 studies were assessed for eligibility through full-text evaluations. In the end, fifteen studies were considered eligible and included in the review ( Figure 1 ) [ 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 ].…”

Section: Resultsmentioning

confidence: 99%

“…There were no IOCs in most included studies, except for Hebra et al’s with one (8.3%) and Prato et al’s (2019) with four (44.4%) [ 19 , 26 ]. No conversions were reported in any of the robotic cohorts, but the laparoscopic and transumbilical laparoscopy single-site surgery (TU-LESS) cohort in Li et al’s study each had one conversion [ 17 ]. POCs ranged from 16.0% to 33.3%, and readmission and reintervention rates were low in all studies (0% to 9.4% and 0% to 6.7%, respectively).…”

Section: Resultsmentioning

confidence: 99%

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Robotic Approach to Paediatric Gastrointestinal Diseases: A Systematic Review

Duhoky,

Claxton,

Piozzi

et al. 2024

Children

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Introduction: The use of minimally invasive surgery (MIS) for paediatric surgery has been on the rise since the early 2000s and is complicated by factors unique to paediatric surgery. The rise of robotic surgery has presented an opportunity in MIS for children, and recent developments in the reductions in port sizes and single-port surgery offer promising prospects. This study aimed to present a systematic overview and analysis of the existing literature around the use of robotic platforms in the treatment of paediatric gastrointestinal diseases. Materials and Methods: In accordance with the PRISMA Statement, a systematic review on paediatric robotic gastrointestinal surgery was conducted on Pubmed, Cochrane, and Scopus. A critical appraisal of the study was performed using the Newcastle Ottawa Scale. Results: Fifteen studies were included, of which seven were on Hirschsprung’s disease and eight on other indications. Included studies were heterogeneous in their populations, age, and sex, but all reported low incidences of intraoperative complications and conversions in their robotic cohorts. Only one study reported on a comparator cohort, with a longer operative time in the robotic cohort (180 vs. 152 and 156 min, p < 0.001), but no significant differences in blood loss, length of stay, intraoperative complications, postoperative complications, or conversion. Conclusions: Robotic surgery may play a role in the treatment of paediatric gastrointestinal diseases. There is limited data available on modern robotic platforms and almost no comparative data between any robotic platforms and conventional minimally invasive approaches. Further technological developments and research are needed to enhance our understanding of the potential that robotics may hold for the field of paediatric surgery.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Robotic Approach to Paediatric Gastrointestinal Diseases: A Systematic Review

Duhoky,

Claxton,

Piozzi

et al. 2024

Children

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“…In our study, all surgeries are finished by the same surgeon and the same team, and the single-port plus one technique was applicated after our team was proficient in multiple-port surgery. All previous studies have shown the learning curve in single-site surgery with multiple experience [ 14 – 16 ]. In addition, pediatric da Vinci surgery is quite different from that in adult surgery.…”

Section: Discussionmentioning

confidence: 99%

Single-port plus one in pediatric robotic-assisted Lich-Gregoir ureteral reimplantation for vesicoureteral reflux, a comparative analysis with short-term outcomes

Chen,

Kang,

Lin

et al. 2024

BMC Urol

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Objective To observe the safety and short-term outcomes of a new way of laparoscopic trocar placement in pediatric robotic-assisted Lich-Gregoir ureteral reimplantation for vesicoureteral reflux. Methods The retrospective study included 32 patients under 14 years diagnosed with primary vesicoureteral reflux (VUR). All these patients underwent robotic-assisted Lich-Gregoir ureteral reimplantation in our department from December 2020 to August 2022. These patients were divided into the following groups according to the different ways of trocar placement: 13 patients in group single-port plus one (SR) and 19 patients in group multiple-port (MR). Patients’ characteristics as well as their perioperative and follow-up data were collected and evaluated. Results There was no significant difference in the data regarding patients’ characteristics and preoperative data. These data included the grade of vesicoureteral reflux according to the voiding cystourethrogram (VCUG), and the differential degree of renal function (DRF) at the following time points: preoperative, postoperative, and comparison of preoperative and postoperative. There was no difference between the two groups. During surgery, the time of artificial pneumoperitoneum establishment, ureteral reimplantation time, and total operative time in the SR group were longer than those in the MR group. Yet only the time of artificial pneumoperitoneum establishment shows a statistical difference (P < 0.0001). Also, the peri-operative data, including the volume of blood loss, fasting time, hospitalization, and length of time that a ureteral catheter remained in place, and the number of postoperative complications demonstrate no difference. In addition, the SFU grade and VCUG grade at the following time point also show no difference between the two groups. Conclusion The study demonstrates that SR in robotic-assisted Lich-Gregoir ureteral reimplantation has reached the same surgical effects as MR. In addition, the single-port plus one trocar placement receives a higher cosmetic satisfaction score from parents and did not increase the surgical time and complexity.

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“…Conducting research and developing secondary evidence is made difficult by idle complications in analyzing, identifying, categorizing, and evaluating primary evidence, especially in the medical book information sector. This leaves a significant need for adequate communication and interaction between clinicians and medical information service staff, facilitating efficient and rapid generation of secondary research evidence (Li, Lin, et al, 2022; Li, Zhan, et al, 2022). The fourth type of confusion is that experienced by users.…”

Section: Discussionmentioning

confidence: 99%

Establishment and implementation of a clinical application and research database for surgical robots in China

Ma,

Li,

et al. 2023

WIREs Data Min & Knowl

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Robots are widely used in surgeries worldwide. To improve robotic surgical treatments, we established a database of clinical applications and research on surgical robots. Robotics‐related literature included in the China national knowledge infrastructure (CNKI), Wanfang, Vipshop, Chinese science citation database (CSCD), Web of Science, EMBASE, PubMed, and Cochrane databases up to September 2022 was searched and entered into the database. Information on all patients who had undergone robotic surgery at our hospital since 2016 was also included. Literature and case information was classified and evaluated according to standard guidelines and statements. The Gansu Provincial Hospital was the first to use evidence‐based medical research methods to successfully establish a database of clinical applications and research on surgical robots. This database comprised literature search, upload, quality evaluation, risk of bias assessment, case information entry, and access functions. Based on the database, we conducted related studies in general surgery, gynecology, urology, thoracic surgery, and cardiovascular surgery, and published 16 meta‐analyses and 15 clinical studies. Establishing this database removes language, retrieval, and evaluation barriers in clinicians' use of clinical evidence and lays the foundation for the efficient and accurate use of clinical data for future research. Further, it facilitates evidence‐based evaluation of the effectiveness of robotic therapy, which may guide future medical practice. This typical case of interdisciplinary research aims to build a platform to disseminate knowledge and technology in robotic surgery.This article is categorized under: Technologies > Computer Architectures for Data Mining Application Areas > Data Mining Software Tools Application Areas > Education and Learning

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Surgical Management of Hirschsprung's Disease: A Comparative Study Between Conventional Laparoscopic Surgery, Transumbilical Single-Site Laparoscopic Surgery, and Robotic Surgery

Cited by 8 publications

References 20 publications

Robotic Approach to Paediatric Gastrointestinal Diseases: A Systematic Review

Robotic Approach to Paediatric Gastrointestinal Diseases: A Systematic Review

Single-port plus one in pediatric robotic-assisted Lich-Gregoir ureteral reimplantation for vesicoureteral reflux, a comparative analysis with short-term outcomes

Establishment and implementation of a clinical application and research database for surgical robots in China

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