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Collaborative Implementation of Robotic Surgery Into an Academic Pediatric Surgery Practice.

Marshall W Wallace1, Chirag Ram1, Alexander Mina1

  • 1Vanderbilt University School of Medicine, Nashville, Tennessee.

The Journal of Surgical Research
|September 11, 2024
PubMed
Summary
This summary is machine-generated.

Robotic surgery in children is safe and effective, matching laparoscopic surgery outcomes. This pilot program highlights the benefits of a structured approach and expert collaboration for pediatric robotic surgery.

Keywords:
Laparoscopic cholecystectomyMinimally invasive surgeryPediatric surgeryRobot-assisted surgeryRobotic cholecystectomyRobotic surgery

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Area of Science:

  • Minimally Invasive Surgery
  • Pediatric Surgery
  • Robotic Surgery

Background:

  • Pediatric surgeons can benefit from robotic technology's precision in confined operative fields.
  • A collaborative model implemented robotic surgery in an academic pediatric practice.
  • Robotic cholecystectomy (RC) outcomes were compared to laparoscopic cholecystectomy (LC).

Purpose of the Study:

  • To evaluate the feasibility and safety of implementing robotic surgery in pediatric patients.
  • To compare the quality outcomes of robotic cholecystectomy versus laparoscopic cholecystectomy.
  • To assess the impact of a tiered case progression and expert collaboration.

Main Methods:

  • Evaluation of 14 months of system development and training.
  • Analysis of 24 months of collaborative operative experience with tiered case progression.
  • Univariate analyses comparing outcomes between laparoscopic cholecystectomy and robotic cholecystectomy.

Main Results:

  • 36 robotic operations were performed in pediatric patients (aged 8-18).
  • Procedures included cholecystectomies and various complex surgeries.
  • No significant differences were found between LC and RC in procedure duration, opioid use, readmission, or surgical site infections.

Conclusions:

  • Robotic surgery shows potential to enhance pediatric surgical procedures.
  • Robotic cholecystectomy demonstrated equivalence to laparoscopic cholecystectomy with theoretical pediatric benefits.
  • The pilot program confirmed the safety and feasibility of pediatric robotic surgery, emphasizing stepwise progression and expert collaboration.