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Establishing a pediatric robotic surgery program in Canada.

Andreana Bütter¹, Neil Merritt², Sumit Dave²

¹Division of Pediatric Surgery, London Health Sciences Centre, Schulich School of Medicine and Dentistry, Children's Hospital, Western University, Room B1-188, 800 Commissioners Road East, London, ON, N6A 5W9, Canada. andreana.butter@lhsc.on.ca.

Journal of Robotic Surgery

|October 28, 2016

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Canada

Area of Science:

Minimally Invasive Surgery
Pediatric Surgery
Robotic Surgery

Background:

Robotic surgery introduced in 2000, but adoption by pediatric surgeons outside the US remains limited.
Establishing a pediatric robotic surgery program requires significant training and resources.

Purpose of the Study:

To describe the establishment and initial outcomes of Canada's first pediatric robotic surgery program.
To evaluate the feasibility and safety of robotically assisted procedures in pediatric patients.

Main Methods:

Simulator training, live animal surgery, and observation at an outside institution preceded the first pediatric da Vinci® surgery.
A prospective database collected data on 41 children undergoing 42 robotically assisted procedures.
Procedures included pyeloplasty, ureteral reimplantations, cholecystectomies, and others.

Keywords:

Pediatric Program Robotic surgery da Vinci®

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Main Results:

42 procedures were successfully completed in 41 children without conversion to open or laparoscopic surgery.
Average operative time was 174 minutes, with an average length of stay of 3 days.
Two cases of urine leaks occurred post-ureteral reimplantation, managed conservatively. No technical failures were reported.

Conclusions:

The da Vinci® system offers enhanced 3D visualization and instrument dexterity, beneficial for complex pediatric reconstructive surgery.
Establishing Canada's first pediatric robotic surgery program was successful, demonstrating the platform's potential for advanced minimally invasive procedures.
Sharing the robotic system with adult colleagues allows for increased utilization and cost-sharing, but requires a dedicated surgical and nursing team.