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Published on: November 20, 2021
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Robotic resection of paediatric solid tumours at a single institution
Summary
Robotic-assisted surgery for paediatric solid tumours is feasible in select cases. This study shows promising results for young patients with large or malignant tumours, with low complication rates.
Area of Science:
- Pediatric Surgery
- Surgical Oncology
- Robotics in Medicine
Background:
- Paediatric solid tumours present unique surgical challenges.
- Exploring advanced surgical techniques is crucial for improving outcomes in children.
Purpose of the Study:
- To evaluate the clinical application and feasibility of robotic-assisted surgery for paediatric solid tumours.
- To assess the safety and efficacy of this approach in a young patient cohort.
Main Methods:
- Retrospective analysis of 53 children undergoing robotic-assisted surgery for solid tumours between 2015 and 2022.
- Data collected included patient demographics, tumour characteristics, operative details, and follow-up outcomes.
Main Results:
- The study included patients with a mean age of 6.7 years and mean weight of 27.7 kg, with average tumour size of 5.5*4.6*3.7 cm.
- A low conversion rate (3.8%) and no intraoperative complications were observed. Mean operative time was 198.5 min with minimal blood loss (27.1 ml).
- Postoperative complications occurred in 3.8% of patients. At a median follow-up of 21.2 months, one patient stopped treatment, and two experienced tumour recurrence.
Conclusions:
- Robotic-assisted tumour resection is a feasible option for highly selected paediatric cases, including those with young age, low weight, large tumours, or malignant diagnoses.
- The technique demonstrates potential for safe and effective tumour removal in children, warranting further investigation.
