Robotics in Pediatric Urology

Fuchs, Molly; DaJusta, Daniel

doi:10.1590/s1677-5538.ibju.2020.99.03

Cited by 20 publications

(9 citation statements)

References 23 publications

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“…Since then, surgeons worldwide have embraced the rise of this new robotic surgery. The robotic platform provides many advancements, solving many tricky problems encountered during standard laparoscopy ( 9 , 10 ). First, it has stable 3D visualization with 10 times magnification, and the camera is manipulated by the surgeon instead of the assistant.…”

Section: Integration and History Of Robotics In Pediatric Surgerymentioning

confidence: 99%

Robotic-assisted surgery in the pediatric surgeons’ world: Current situation and future prospectives

Hong

Tang

2023

Front. Pediatr.

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Robotic-assisted surgery has been fully embraced by surgeons for the adult population; however, its acceptance is too slow in the world of pediatric surgeons. It is largely due to the technical limitations and the inherent high cost associated with it. In the past two decades, indeed, there has been considerable advancement in pediatric robotic surgery. A large number of surgical procedures were performed on children with the assistance of robots, even with comparative success rates to standard laparoscopy. As a newly developing field, it still has many challenges and obstacles. This work is centered on the current status and progression of pediatric robotic surgery as well as the future perspectives in the field of pediatric surgery.

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Section: Integration and History Of Robotics In Pediatric Surgerymentioning

confidence: 99%

Robotic-assisted surgery in the pediatric surgeons’ world: Current situation and future prospectives

Hong

Tang

2023

Front. Pediatr.

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“…Robot-assisted laparoscopic surgery is currently the most widely applied in urology 24. Robot-assisted pyeloplasty is a major surgical procedure in the field of pediatric urology, and other robotic surgeries, such as partial or complete nephrectomy, ureterostomy, ureteral reimplantation, bladder reconstruction, etc, and has also been proven to be safe and effective 25–27. Navarrete Arellano and Garibay González reported a prospective observational study including 186 children who underwent RAS from 2015 to 2018 18.…”

Section: Application Of Ras In Pediatric Surgerymentioning

confidence: 99%

Application and prospects of robotic surgery in children: a scoping review

Shen

Tou

2022

World Jnl Ped Surgery

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As an innovative minimally invasive surgical technology, robot-assisted surgery (RAS) has greatly improved the accuracy and safety of surgery through the advantages of three-dimensional magnification, tremor filtering, precision and flexibility, and has been carried out by an increasing number of surgeries. In recent years, robots have been gradually applied to children, bringing new ideas and challenges to pediatric surgeons. This review will describe the advantages and limitations of robotic surgery in children, summarize its application in pediatric surgery, and provide an outlook. It is believed that clinicians should actively carry out RAS under the premise of rigorously ensuring surgical indications and strive to improve the efficacy of surgical treatment for children.

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“…Nevertheless, LP is technically demanding and has a long learning curve (7,8). RALP has reduced the technical difficulty of this procedure with a shorter learning curve compared to LP (9)(10)(11)(12)(13). Therefore, we believe that the three techniques should have similar outcomes.…”

Section: Introductionmentioning

confidence: 99%

Multicenter comparative study of open, laparoscopic, and robotic pyeloplasty in the pediatric population for the treatment of ureteropelvic junction obstruction (UPJO)

et al. 2022

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Introduction: Dismembered open pyeloplasty described by Anderson and Hynes is the "gold standard" for the treatment of ureteropelvic junction obstruction. The aim of our study was to compare the results of open (OP) vs laparoscopic (LP) vs robotic (RALP) pyeloplasty. Material and Methods: A multicenter prospective review was conducted of pyeloplasty surgeries performed at five high-volume centers between 2014 and 2018. Demographic data, history of prenatal hydronephrosis, access type, MAG3 renogram and differential renal function, surgery time, length of hospital stay, and complication rate (Clavien-Dindo) were recorded. Access type was compared using the Kruskal-Wallis, Chi-square, or Fisher's exact tests. Results: A total of 322 patients were included: 62 OP, 86 LP, and 174 RALP. The mean age was 8.13 (r: 1-16) years, with a statistically significant lower age (mean 5 years) in OP (p < 0.001). There were no significant differences in the distribution of the side affected. Operative time was 110.5 min for OP, 140 min for LP, and 179 min for RALP (p < 0.0001). Hospital stay was significantly shorter in the RALP group than in the other groups (p < 0.0001). There were no differences in postoperative complications and reoperations between the three groups. Conclusions: Minimally invasive surgery for the management of UPJO in children is gaining more acceptance, even in patients younger than 1-year-old. Operative time continues to be significantly shorter in OP than in LP and RALP. Hospital stay was shorter in RALP compared to the other techniques. No differences were found in complication rates, type of complications, and reoperation rate.

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Robotics in Pediatric Urology

Cited by 20 publications

References 23 publications

Robotic-assisted surgery in the pediatric surgeons’ world: Current situation and future prospectives

Robotic-assisted surgery in the pediatric surgeons’ world: Current situation and future prospectives

Application and prospects of robotic surgery in children: a scoping review

Multicenter comparative study of open, laparoscopic, and robotic pyeloplasty in the pediatric population for the treatment of ureteropelvic junction obstruction (UPJO)

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