Update on the Minimally Invasive Approach in Paediatric Urology: Remote Help for Human Hands?

Spinoit, Anne‐Françoise; Subramaniam, Ramnath

doi:10.1016/j.eursup.2015.01.006

Cited by 6 publications

(2 citation statements)

References 56 publications

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“…Although it is routinely utilized in urology, RALS has remained controversial since it is frequently challenging to demonstrate clear superiority in outcomes when compared to open or classical laparoscopic surgery, whilst also being quite expensive ( 6 ). Adaptation of RALS in children is even more hazardous than in adults as the medical equipment for the procedure is produced for use in adult-sized bodies ( 7 ).…”

Section: Robot-assisted Laparoscopic Surgerymentioning

confidence: 99%

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Pediatric Challenges in Robot-Assisted Kidney Transplantation

et al. 2021

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Kidney transplantation is universally recognized as the gold standard treatment in patients with End-stage Kidney Disease (ESKD, or according to the latest nomenclature, CKD stage 5). Robot-assisted kidney transplantation (RAKT) is gradually becoming preferred technique in adults, even if applied in very few centra, with potentially improved clinical outcomes compared with open kidney transplantation. To date, only very few RAKT procedures in children have been described. Kidney transplant recipient patients, being immunocompromised, might be at increased risk for perioperative surgical complications, which creates additional challenges in management. Applying techniques of minimally invasive surgery may contribute to the improvement of clinical outcomes for the pediatric transplant patients population and help mitigate the morbidity of KT. However, many challenges remain ahead. Minimally invasive surgery has been consistently shown to produce improved clinical outcomes as compared to open surgery equivalents. Robot-assisted laparoscopic surgery (RALS) has been able to overcome many restrictions of classical laparoscopy, particularly in complex and demanding surgical procedures. Despite the presence of these improvements, many challenges lie ahead in the surgical and technical–material realms, in addition to anesthetic and economic considerations. RALS in children poses additional challenges to both the surgical and anesthesiology team, due to specific characteristics such as a small abdominal cavity and a reduced circulating blood volume. Cost-effectiveness, esthetic and functional wound outcomes, minimal age and weight to undergo RALS and effect of RAKT on graft function are discussed. Although data on RAKT in children is scarce, it is a safe and feasible procedure and results in excellent graft function. It should only be performed by a RAKT team experienced in both RALS and transplantation surgery, fully supported by a pediatric nephrology and anesthesiology team. Further research is necessary to better determine the value of the robotic approach as compared to the laparoscopic and open approach. Cost-effectiveness will remain an important subject of debate and is in need of further evaluation as well.

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Section: Robot-assisted Laparoscopic Surgerymentioning

confidence: 99%

“…Despite the presence of these improvements, many challenges lie ahead in the surgical and technical–material realms, in addition to anesthetic and economic considerations ( 7 , 8 ).…”

Section: Robot-assisted Laparoscopic Surgerymentioning

confidence: 99%

Pediatric Challenges in Robot-Assisted Kidney Transplantation

et al. 2021

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Miscellaneous Procedures (Prostatic Utricle/UG Sinus/Oncological/Renal Transplantation Applications)

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Ganpule

Mallenahalli

et al. 2022

Robotic Urologic Surgery

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The Latest Advancements in Selective Neck Dissection for Early Stage Oral Squamous Cell Carcinoma

Shen

Chen

et al. 2017

Curr. Treat. Options in Oncol.

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The management of cervical lymph node metastasis remains a crucial component of the treatment of head and neck cancers. However, the proper management of clinical N cases with early-stage oral squamous cell carcinoma (OSCC) remains undefined. In the advent of minimally invasive techniques in the 1980s, these techniques have gained popularity among numerous surgeons in all fields of surgery. Although there are no randomized controlled trial data comparing the outcomes of minimally invasive techniques (endoscopically assisted selective neck dissection (SND), robot-assisted SND) with conventional techniques, encouraging evidence from several studies suggests that both endoscopically assisted SND and robot-assisted SND are safe, minimally invasive techniques with achieved short-term oncologic outcomes and can reach a better cosmetic outcome than conventional SND. In this review, we also compare the indications, surgical approaches, and relative advantages and disadvantages of conventional SND, endoscopically assisted SND, and robot-assisted SND to provide surgeons with a means to better consider these techniques for the treatment of early-stage OSCC.

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Update on the Minimally Invasive Approach in Paediatric Urology: Remote Help for Human Hands?

Cited by 6 publications

References 56 publications

Pediatric Challenges in Robot-Assisted Kidney Transplantation

Pediatric Challenges in Robot-Assisted Kidney Transplantation

Miscellaneous Procedures (Prostatic Utricle/UG Sinus/Oncological/Renal Transplantation Applications)

The Latest Advancements in Selective Neck Dissection for Early Stage Oral Squamous Cell Carcinoma

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