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Robot-assisted surgery in children: current status.

C K Sinha1, M Haddad1

  • 1Department of Paediatric Surgery, Chelsea and Westminster Hospital, London, SW10 9NH UK.

Journal of Robotic Surgery
|December 9, 2014
PubMed
Summary
This summary is machine-generated.

Robotic surgery in children is safe and feasible, with pyeloplasty and fundoplication being common procedures. While operation times can be longer, robotic surgery offers enhanced precision and dexterity for paediatric surgical practice.

Keywords:
ChildrenPaediatric surgeryRobotic

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Area of Science:

  • Minimally Invasive Surgery
  • Pediatric Surgery
  • Robotic Surgery

Background:

  • Technological advancements have significantly expanded the scope of robotic paediatric surgery.
  • Robot-assisted procedures are increasingly being adopted in paediatric surgical practice.

Purpose of the Study:

  • To analyze the extent of robotic involvement in paediatric surgical practice.
  • To compare the outcomes of robot-assisted procedures with traditional open and laparoscopic methods.

Main Methods:

  • A systematic database search was conducted, reviewing published reports up to October 2007.
  • Data from 566 paediatric patients undergoing robot-assisted procedures were retrospectively analyzed.
  • Success rates were defined by procedure completion, complications, and operative time.

Main Results:

  • The da Vinci system was most frequently used (23 studies). Common procedures included pyeloplasty (141 cases), fundoplication (122 cases), and patent ductus arteriosus ligation (50 cases).
  • Overall conversion rates were 4.7%, with complication rates ranging from 0-15%. Robotic pyeloplasty had a 2.1% conversion and 3.5% complication rate.
  • While operative times were sometimes longer than open or laparoscopic approaches, robotic surgery demonstrated benefits in precision and dexterity.

Conclusions:

  • Robotic procedures are recommended as safe and feasible in paediatric surgery.
  • Widespread adoption depends on addressing the learning curve, machine size for neonates, ensuring efficacy across all operations, and improving cost-effectiveness.