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Robot-Assisted Laparoscopic Splenectomy In Children: A Case Report with Literature Review
Published on: March 27, 2026
Robot assisted laparoscopic partial nephrectomy: a viable and safe option in children
Richard S Lee1, Amanjot S Sethi, Carlo C Passerotti
1Department of Urology, Children's Hospital Boston, Boston, Massachusetts, USA.
The Journal of Urology
|December 27, 2008
Summary
Robot assisted partial nephrectomy is safe and feasible in children. This minimally invasive approach offers potential benefits over standard laparoscopy, with operative times improving with surgeon experience.
Area of Science:
- Pediatric Urology
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Laparoscopic partial nephrectomy is established in pediatric patients.
- Robotic assistance offers enhanced visualization and dexterity for complex procedures.
Purpose of the Study:
- To describe the technique for robot assisted laparoscopic partial nephrectomy in children.
- To determine the safety and feasibility of this approach based on initial institutional experience.
Main Methods:
- Retrospective review of robot assisted laparoscopic partial nephrectomies (2002-2005).
- Transperitoneal approach using the da Vinci Surgical System.
- Outcome indicators: blood loss, complications, narcotic use, length of stay.
Main Results:
- Successfully completed in 9 pediatric cases (mean age 7.2 years).
- Mean operative time 275 minutes, decreasing with experience; mean blood loss 49 ml.
- Mean hospitalization 2.9 days; one asymptomatic urinoma resolved with drainage.
Conclusions:
- Robot assisted laparoscopic partial nephrectomy is safe and feasible in children.
- Operative efficiency improves with experience.
- Robotic systems may offer advantages over standard laparoscopy for pediatric partial nephrectomy.
