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Cost, training and simulation models for robotic-assisted surgery in pediatric urology
F O'Kelly1, W A Farhat2, M A Koyle2
1Division of Pediatric Urology, The Hospital for Sick Children, Toronto, ON, Canada. fokelly@rcsi.ie.
World Journal of Urology
|June 19, 2019
Summary
Robotic-assisted surgery is increasingly used in pediatric urology, offering benefits like enhanced precision for complex procedures. However, high costs and training needs remain significant challenges for this minimally invasive approach.
Area of Science:
- Pediatric Urology
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Laparoscopic procedures are established as safe and effective in pediatric urology.
- There is a growing trend towards minimally invasive options for complex pediatric cases.
- Robotic platforms are seeing increased utilization in pediatric urology, despite mixed results in adults.
Purpose of the Study:
- To review the current literature on robotic-assisted pediatric urology.
- To assess evidence regarding training models for robotic surgery in children.
- To evaluate the cost-effectiveness of robotic platforms in pediatric urology.
Main Methods:
- Literature review of current evidence.
- Assessment of training models and simulation.
- Analysis of cost-effectiveness data.
Main Results:
- Robotic platforms are safe and effective for pediatric patients.
- Benefits include enhanced dexterity, magnification, and tremor reduction for reconstructive surgery.
- Significant drawbacks include high purchase, maintenance, and disposable costs.
Conclusions:
- Robotic surgery offers reconstructive advantages in pediatric urology.
- Cost remains a primary barrier to widespread adoption.
- Addressing training and simulation is crucial for future implementation.
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