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Implementing a pediatric robotic surgery program: future perspectives.

C Soto Beauregard1, J Rodríguez de Alarcón García1, E E Domínguez Amillo1

  • 1Pediatric Surgery Department. Institute for Children and Adolescents. San Carlos Clinical Hospital, Madrid (Spain).

Cirugia Pediatrica : Organo Oficial De La Sociedad Espanola De Cirugia Pediatrica
|October 11, 2022
PubMed
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This study implemented a Pediatric Robotic Surgery program, successfully performing 732 procedures with no major complications. Robotic surgery offers enhanced precision and faster patient recovery in pediatric patients.

Area of Science:

  • Pediatric Surgery
  • Minimally Invasive Surgery
  • Robotic Surgery

Background:

  • Robotic technology is established in adult minimally invasive surgery.
  • Pediatric robotic surgery began internationally in 2002 and in Spain in 2009.
  • This paper details the establishment of a Pediatric Robotic Surgery program.

Purpose of the Study:

  • To implement and evaluate a Pediatric Robotic Surgery program.
  • To assess the feasibility and outcomes of robotic surgery in pediatric patients.

Main Methods:

  • A proposal for pediatric robotic surgery was developed.
  • A Da Vinci Xi system was acquired.
  • A program was initiated under experienced pediatric surgical guidance.
Keywords:
Pediatric robotic surgeryPediatric robotic urologyRobotic lung resection

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Main Results:

  • 732 pediatric patients (median age 12 years) underwent robotic surgery since January 2019.
  • 56% were abdominal, 3% thoracic, and 11% urologic procedures.
  • One conversion to open surgery; no anesthetic/hemodynamic complications; median discharge 2 days.

Conclusions:

  • Robotic surgery offers symmetrical movements, potentially shortening the learning curve.
  • The robotic approach enhances surgical precision, aiding patient recovery.