The first decade of robotic surgery in children

606 A comparative study of pediatric open pyeloplasty, laparoscopy-assisted extracorporeal pyeloplasty and robot-assisted laparoscopic pyeloplasty

“…Nevertheless, pediatric laparoscopic surgery has not been widely adopted, possibly due to its technical difficulty and long learning curve, whereas RALP is the most commonly reported robotic surgery in children. [22] Dangle et al reported that the success rate of RALP was comparable to OP, even in infants. [23] In terms of limitations, our present study involved a retrospective cohort.…”

Current status of robotic surgery in pediatric surgery and perspectives for the future

“…Bugüne dek yayınlanmış, pediatrik robotik cerrahi ile ilgili en geniş seri olan, çocuk cerrahisinde robotik cerrahinin ilk on yılını değerlendiren çalışmada 1840 hastada uygulanan 2393 operasyon bildirilmiştir (37) . En sık uygulanan gastrointestinal, genitoüriner ve torasik işlemler sırası ile funduplikasyon, pyeloplasti ve lobektomi olarak rapor edilmiştir.…”

Robotic Surgery in Children

“…The system provides the surgeon with stereoscopic vison, provides motion scaling and tremor reduction, and features instruments capable of 7 degrees of motion, including grip, compared with 4 degrees of motion available with standard laparoscopic instruments. The da Vinci surgical system is the most frequently reported robotic platform used in the pediatric age group at 89%, followed by ZEUS (Computer Motion Inc., CA) at 3.5%, with the remainder of reports failing to stipulate specifically which robotic platform was used 1) .…”

“…The majority are from North America 1) . The most commonly reported gastrointestinal, genitourinary, and thoracic procedures reported were fundoplication, pyeloplasty, and lobectomy.…”

“…The evolution of laparoscopic surgery highlights the transitionary stages that follow the adoption and diffusion of surgical innovation 1) . There are several limitations to the use of conventional laparoscopic and thoracoscopic surgical techniques such as two-dimensional visualization of the surgical field with loss of depth perception, counterintuitive movements with rigid and non-articulated instruments, loss of eye-hand coordination, and poor ergonomics for the operating surgeon.…”