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Paediatric robotic surgery: a narrative review.

Lukas Padraig O'Brien1, Enda Hannan2, Brice Antao1

  • 1Department of Paediatric Surgery, Children's Health Ireland at Crumlin, Dublin, Ireland.

Journal of Robotic Surgery
|January 16, 2023
PubMed
Summary
This summary is machine-generated.

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Robotic surgery offers potential benefits for pediatric minimally invasive surgery (MIS) by overcoming the limitations of traditional laparoscopy in small spaces. However, cost and operative time remain key considerations for its wider adoption in children.

Area of Science:

  • Pediatric Surgery
  • Minimally Invasive Surgery (MIS)
  • Robotic Surgery

Background:

  • Minimally invasive surgery (MIS) offers benefits like reduced pain and shorter hospital stays compared to open surgery.
  • Laparoscopic surgery in children faces technical challenges due to small working spaces and rigid instruments, making open surgery common for complex procedures.
  • Robotic surgical platforms aim to overcome laparoscopic limitations with enhanced visualization, ergonomics, and dexterity.

Purpose of the Study:

  • To review the current applications and role of robotic surgery in the field of pediatric surgery.
  • To evaluate how robotic platforms can address the challenges of MIS in pediatric patients.
  • To discuss the advantages and limitations of robotic surgery in pediatric procedures.

Main Methods:

Keywords:
Minimally invasive surgeryPaediatric robotic surgeryPaediatric surgeryRobotic surgery

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  • Literature review of current robotic surgery applications in pediatric surgery.
  • Analysis of the technical advantages of robotic platforms in pediatric MIS.
  • Examination of reported challenges and reservations regarding pediatric robotic surgery.

Main Results:

  • Robotic surgery provides a 3D view, improved ergonomics, and greater range of motion, beneficial for pediatric MIS.
  • These advantages may enable MIS for complex pediatric cases requiring intracorporeal suturing and anastomosis.
  • Concerns include high costs, longer operative times, and the lack of specialized pediatric robotic equipment.

Conclusions:

  • Robotic surgical platforms show promise for advancing MIS in pediatric surgery.
  • Further research and development are needed to address cost and equipment limitations for broader pediatric adoption.
  • Robotics may enhance the feasibility and safety of complex MIS procedures in children.