Robotic pediatric surgery: Early experience in Brazil
Introduction: Although well-established in a variety of adult surgical subspecialties, robotic surgery is still gaining ground in Pediatric Surgery. Some of the technical limitations of laparoscopy have been overcome by the high-quality 3D vision and freedom movement of the robotic arms. The present...
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| Main Authors: | , , , , , , |
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| Format: | Book |
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Elsevier,
2021-01-01T00:00:00Z.
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| Summary: | Introduction: Although well-established in a variety of adult surgical subspecialties, robotic surgery is still gaining ground in Pediatric Surgery. Some of the technical limitations of laparoscopy have been overcome by the high-quality 3D vision and freedom movement of the robotic arms. The present study describes the initial experience with the first thirteen pediatric robotic surgeries performed by a single surgeon, under the supervision of the same proctor. Material/methods: Case series retrospectively presenting the initial experience with pediatric robotic surgery in Brazil from 2017 to 2020. Results: Thirteen cases were reviewed, 8 female and 5 male, the average age was 6 years (2-12), and weight ranged from 11,400 to 78,200 g (median 18600g). Oncological diseases were the main diagnosis (11 patients) and 2 had benign conditions (1 gastroesophageal reflux and 1 choledochal cyst). No conversion to open surgery was necessary. The average length of stay in the ICU was 3 days (1-5 days), and time to hospital discharge was 4.8 days (1-10 days). In 30.7% of the cases there has been respiratory complications. No major complication requiring a surgical approach in the postoperative period and no deaths related to robotic surgery were identified. In 90% of the oncological patients, complete resection without recurrences has been possible. Conclusion: Robotic surgery is feasible and safe in pediatrics. A great variety of surgeries are amenable to be accomplished robot-assisted with minor surgical complications. |
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| Item Description: | 2213-5766 10.1016/j.epsc.2020.101659 |