Implementing a pediatric robotic surgery program: future perspectives

Abstract

The minimally invasive approach using robotic technology is fully incorporated in the treatment of adult pathologies.The first international pediatric studies with a robotic approach date from 2002, and in Spain, from 2009. We present the implementation of a Pediatric Robotic Surgery program in our setting. Materials and methods.A proposal for the application of robotic technology in pediatrics was developed, and after the acquisition of a Da Vinci Xi system at our center, a program was initiated under the guidance of a pediatric surgeon experienced in this approach.Results. 32 patients with a median age of 12 years (7 months-17 years) have been operated on since January 2019. 56% of the procedures were abdominal. 3 thoracic approaches and 11 urologic procedures were carried out. 1 conversion to open surgery was performed during a fundoplication. The median combined duration of abdominal and thoracic approaches was 155 minutes (70-380 minutes). There were no anesthetic or hemodynamic complications. The postoperative period in the cases in which the procedure was completed was uneventful, and patients were discharged after a median of 2 days (1-16 days). Conclusion.The main advantage of robotic procedures is the symmetrical movement in line with the surgeon's hands, which makes the learning curve shorter. In our experience, the robotic approach has allowed for greater precision in the surgical technique, favoring the patient's recovery.

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

“…AI algorithms can aid surgeons in real-time decision making, procedural planning, and even automation of certain tasks, reducing the cognitive load on surgeons and potentially improving overall efficiency. The integration of AI-driven technologies holds promise for further refining surgical techniques and expanding the scope of robotic-assisted interventions in pediatrics [ 47 , 61 ].…”

“…Improved haptic feedback can provide a more realistic sense of touch, enabling surgeons to better navigate delicate tissues and perform intricate maneuvers with heightened precision. These developments contribute to the ongoing efforts to bridge the gap between traditional open surgeries and minimally invasive robotic procedures in pediatric patients [ 47 , 61 ].…”