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

Shen, Lei Ting; Tou, Jinfa

doi:10.1136/wjps-2022-000482

Cited by 13 publications

(9 citation statements)

References 56 publications

(112 reference statements)

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“…The questionnaire was designed by referring to experts' consensus (Brindle et al, 2020), and the relevant reviews (Roberts et al, 2020;Rove et al, 2018;Shu & Tou, 2019;Wu et al, 2019). It consisted of three parts corresponding to knowledge, attitudes, and self-reported practices of ERAS among paediatric surgical nurses.…”

Section: Kap Questionnairementioning

confidence: 99%

Knowledge, attitudes and practices of enhanced recovery after surgery among paediatric surgical nurses in China: A Cross‐Sectional study

Liu

et al. 2022

Nursing Open

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Aim To investigate paediatric surgical nurses' knowledge, attitudes and practices (KAP) regarding enhanced recovery after surgery (ERAS). Design A cross‐sectional study. Methods A 34‐question survey was developed. An electronic version of the questionnaire was distributed to nurses working in paediatric surgical departments of 22 tertiary hospitals from 14 provinces of China by means of convenience sampling from February to April 2021. A total of 855 nurses' data was used as the final sample. The statistical analysis included nonparametric test, Spearman′s correlation and multiple linear regression. Results There is still room for improvement regarding the KAP of paediatric surgical nurses, especially in the knowledge of “postoperative recovery” and “preoperative preparation”. The influencing factors of KAP were educational level, geographical region (South, Central, North, Northwest), years of work experience, hospital category (general hospital, women and children′s hospital), and familiarity with ERAS.

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Section: Kap Questionnairementioning

confidence: 99%

Knowledge, attitudes and practices of enhanced recovery after surgery among paediatric surgical nurses in China: A Cross‐Sectional study

Liu

et al. 2022

Nursing Open

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“…The field of pediatric robotic-assisted surgery holds significant promise, especially for performing precise and intricate procedures on a small scale. The technology’s exceptional precision, flexibility, and little invasiveness make it highly suitable for the rigorous requirements of pediatric surgery, allowing surgeons to manipulate intricate anatomical structures with unparalleled accuracy [ 16 ]. This innovative method is revolutionizing pediatric healthcare by reducing surgical trauma, accelerating recovery, and improving long-term outcomes for pediatric patients [ 13 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

Small Scale, High Precision: Robotic Surgery in Neonatal and Pediatric Patients—A Narrative Review

Iacob,

Ghenciu

et al. 2024

Children

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This narrative review explores the evolution and implications of robotic-assisted surgery in pediatric and neonatal cases, focusing on its advantages, drawbacks, and the specific diseases amenable to this innovative technology. Following PRISMA guidelines, 56 relevant articles from the past five years were selected, emphasizing advancements in precision, reduced trauma, and expedited recovery times for pediatric patients. Despite challenges like cost and training, ongoing research shapes pediatric robotic-assisted surgery, promising improved outcomes. The technology’s benefits include enhanced precision, minimized scarring, and faster recovery, addressing the challenges in delicate pediatric procedures. Challenges encompass cost, training, and instrument design, but ongoing refinements aim to overcome these. This review underscores psychological and musculoskeletal considerations for patients and surgeons. While acknowledging limitations and preferred pathologies, this review outlines the transformative potential of robotic-assisted surgery in reshaping pediatric surgical care. This comprehensive assessment concludes that, despite challenges, ongoing advancements promise a future of enhanced precision and tailored care in pediatric surgery.

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“…The safety and e cacy of robot-assisted surgery have been established in the pediatric eld, with its use steadily expanding to various pediatric surgical subspecialties [1][2][3]. Additionally, continuous innovations in robotic technology, including the development of new platforms, miniaturization of instruments, and cost reduction, are expected to accelerate the adoption of pediatric robotic surgeries [2,4,5].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the hinotori TM Surgical Robot System for accurate suturing in small cavities

Kameoka,

Okata,

Yoshimura

et al. 2024

Preprint

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The hinotori™ Surgical Robot System (hinotori™, Medicaroid, Kobe, Japan) is increasingly being utilized primarily in urology and adult surgery; however, data on its application in pediatric surgery are lacking. This preclinical study aimed to evaluate the limitations of this system for accurate suturing in small cavities, designed for pediatric and neonatal applications. Two trained operators performed simple ligature sutures (easy task [ET]) and hepaticojejunostomy sutures (difficult task [DT]) within five differently sized boxes, ranging from 5123 mL to 125 mL. The suture time, number of internal and external instrument/instrument collisions, instrument/box collisions, and suture accuracy were evaluated. The suture accuracy was assessed using the A-Lap Mini endoscopic surgery skill assessment system. As a result, an increase in the number of collisions and extended suturing times were observed in boxes with volumes smaller than 215 mL. Despite these variations, there were no significant differences between the boxes, and all tasks were precisely performed in all boxes (p = 0.10 for the ET and 1.00 for the DT). These findings demonstrate the capability of the hinotori™ system to perform precise suturing techniques within tightly confined simulated neonatal cavities as small as 125 mL. To advance the integration of pediatric robotic surgery utilizing the hinotori™ system, additional trials comparing it with conventional laparoscopic and thoracoscopic techniques using pediatric and animal models are necessary, to assess its clinical safety and applicability.

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

Cited by 13 publications

References 56 publications

Knowledge, attitudes and practices of enhanced recovery after surgery among paediatric surgical nurses in China: A Cross‐Sectional study

Knowledge, attitudes and practices of enhanced recovery after surgery among paediatric surgical nurses in China: A Cross‐Sectional study

Small Scale, High Precision: Robotic Surgery in Neonatal and Pediatric Patients—A Narrative Review

Evaluation of the hinotori TM Surgical Robot System for accurate suturing in small cavities

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