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First Pediatric Pyeloplasty Using the Senhance® Robotic System-A Case Report
Juergen Holzer1, Peter Beyer1, Florian Schilcher2
1Department of Pediatric Surgery, Klinikum, D-73730 Esslingen, Germany.
Children (Basel, Switzerland)
|March 25, 2022
Summary
This study reports the first pediatric robotic pyeloplasty using the Senhance system in a young girl. The procedure was successful, safe, and feasible, with no obstruction recurrence after six months.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Ureteropelvic junction (UPJ) obstruction is a common congenital anomaly in children.
- Traditional pyeloplasty can be challenging in pediatric patients.
- Robotic-assisted surgery offers potential advantages in precision and visualization.
Observation:
- A 1.5-year-old girl underwent a robotic pyeloplasty for symptomatic UPJ stenosis.
- The Senhance robotic system with 5 mm instruments and haptic feedback was utilized.
- The surgery involved infrared eye tracking for camera control and facilitated suturing and stent insertion.
Findings:
- The robotic pyeloplasty was successfully completed in 4.5 hours without complications.
- The patient showed no recurrence of UPJ obstruction at six months post-surgery.
- The child exhibited normal growth and organ function post-procedure.
Implications:
- The Senhance robotic system demonstrates safety and feasibility for pediatric pyeloplasty.
- This technology may enhance outcomes in minimally invasive pediatric urological procedures.
- Further long-term follow-up is warranted to confirm sustained benefits.
