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Pediatric Robotic Surgery in South America: Advantages and Difficulties in Program Implementation
Juan M Moldes1, Francisco Ignacio de Badiola1, Roberto Luis Vagni1
1Department Pediatric Surgery, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
Frontiers in Pediatrics
|April 16, 2019
Summary
Robotic pediatric surgery programs in South America face slow growth due to high costs, lack of insurance coverage, and unproven benefits over traditional laparoscopy. These challenges hinder development despite adult program advancements.
Area of Science:
- Minimally Invasive Surgery
- Pediatric Surgery
- Medical Technology Adoption
Background:
- Robotic assisted laparoscopic surgery is globally recognized for its benefits.
- Robotic surgery adoption is slower in South America compared to developed nations.
- Pediatric robotic surgery programs are emerging but lag behind adult counterparts.
Purpose of the Study:
- To assess the status and growth of robotic pediatric surgery programs in Brazil, Chile, Uruguay, and Argentina.
- To identify obstacles hindering the development of these programs.
- To compare the regional situation with global trends in robotic surgery.
Main Methods:
- Data collection via e-mail surveys from institutions in Brazil, Chile, Uruguay, and Argentina.
- Analysis of collected information on robotic pediatric surgery programs.
- Comparative analysis with worldwide robotic surgery data.
Main Results:
- Significant social, economic, and technological disparities exist between South American hospitals.
- Key barriers include high equipment costs, maintenance expenses, and inadequate insurance coverage.
- Lack of proven significant benefits of robotic surgery over laparoscopy in pediatrics was noted.
Conclusions:
- Developing pediatric robotic surgery programs in these South American countries is challenging.
- Obstacles are multifaceted, involving financial, technological, and evidence-based factors.
- Despite progress in adult robotic surgery, pediatric programs in the region are not experiencing similar growth.
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