Related Experiment Video
Updated: Jun 6, 2025
Robotics in Surgery: A Modular Robotic Platform Driven Gastric Wedge Resection
Published on: February 7, 2025
Innovative minimally invasive gastric pull-up techniques in children: SILS and robot-assisted gastric pull-up
Zafer Dokumcu1, Ulgen Celtik2, Samir Hasan2
1Department of Pediatric Surgery, Ege University Faculty of Medicine, 35100, Bornova/Izmir, Turkey. zdokumcu@gmail.com.
Insights
Single-incision laparoscopic gastric pull-up (SILS-GPU) and robot-assisted gastric pull-up (R-GPU) are safe and effective for pediatric patients. These minimally invasive techniques show promise for improved outcomes in complex esophageal reconstructions.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
- Gastrointestinal Surgery
Background:
- Esophageal reconstruction is complex in pediatric patients.
- Traditional open techniques carry significant morbidity.
- Advancements in minimally invasive surgery offer potential benefits.
Purpose of the Study:
- To evaluate the safety and effectiveness of single-incision laparoscopic gastric pull-up (SILS-GPU).
- To assess the feasibility and outcomes of robot-assisted gastric pull-up (R-GPU).
- To compare SILS-GPU and R-GPU in pediatric patients requiring gastric pull-up.
Main Methods:
- Retrospective review of hospital records for pediatric patients undergoing SILS-GPU or R-GPU (May 2016 - January 2024).
- Analysis of patient demographics, diagnoses, surgical techniques, and postoperative outcomes.
- Evaluation of conduit route selection based on pathology and anatomical factors.
Main Results:
- Twelve pediatric patients included: 7 SILS-GPU, 5 R-GPU.
- Common indications: persistent corrosive esophageal stricture (PCES) and long gap esophageal atresia (LGEA).
- No mortality or intraoperative complications; high rate of successful oral feeding post-surgery.
Conclusions:
- SILS-GPU and R-GPU are safe and effective for pediatric gastric pull-up.
- Minimally invasive approaches demonstrate lower complication rates in children.
- These techniques offer viable alternatives for complex esophageal reconstructions.
Aim:
This study aims to explore the rationality, feasibility, safety, and effectiveness of single-incision laparoscopic gastric pull-up (SILS-GPU) and robot-assisted gastric pull-up (R-GPU) methods.
Methods:
Hospital records of patients who underwent gastric pull-up with either SILS-GPU or R-GPU between May2016 and January 2024 were reviewed. Demographics, diagnosis, surgical techniques, and postoperative outcomes were evaluated.
Results:
Out of the total 12 patients (eight persistent corrosive esophageal stricture-PCES, four long gap esophageal atresia-LGEA), seven underwent SILS-GPU, while the remaining five underwent R-GPU. The choice of conduit route was based on the primary pathology (PCES/EA) and the presence of posterior mediastinal fibrosis and/or tracheomalacia. The posterior mediastinum was preferred in seven, intrathoracic in three, and retrosternal in two patients. Transhiatal esophagectomy was performed in seven patients, while transthoracic esophagectomy was performed in three. There were no instances of mortality or intraoperative complications related to the preferred technique. All patients except one with Down syndrome were able to feed orally.
Conclusion:
SILS-GPU and R-GPU are demonstrated to be safe and effective in the pediatric population, with relatively lower complication rates in children.
Related Concept Videos
01:25Peptic Ulcer Disease V: Surgical Management and Nursing Care
Surgical Interventions for Peptic Ulcer Disease
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
01:21Inflammatory Bowel Disease V: Surgical Management
Here are some common surgical interventions for IBD: