Robot-assisted minimally invasive Kasai portoenterostomy: a survival porcine study

Abstract

Computer-assisted robot-enhanced technology allows complex gastrointestinal surgery to be performed using minimally invasive techniques.

Current Trends in Pediatric Robotic Surgery

“…Because no hysterotomy is required, such surgery is not subject to the disastrous complication of preterm labor 2 . This is only one of many potentially wonderful application of robotics to Pediatrics [38][39][40][41][42][43][44][45] . However, as we will see throughout this review, the literature on robotically assisted pediatric surgery has been and continues to be rather slim [46][47][48][49][50] .…”

“…Fetal surgery is one example of a field that could benefit tremendously from the ability to operate exclusively by ultrasound or MRI, not to mention the possibilities created by autonomous robotic units. There is hope and belief that robotics will someday allow surgery to be performed by the least invasive methods possible and to operate on smaller and smaller structures including many that can't be accessed at all with current technologies 44 . Therefore, even though robotics is still rather limited, we hope to have demonstrated in this review of the current literature that the technique is extremely promising and has the potential of eventually becoming the gold standard for many procedures.…”

Robotically assisted small intestinal strictureplasty in dogs

“…There have been few experimental studies to date examining the role of robotics in intestinal suturing [10,12,18]. To evaluate the safety and feasibility of intestinal suturing using only the robotic surgical system, we designed an animal-survival study wherein small bowel strictureplasties were performed.…”

Robotic endoscopic surgery in a porcine model of the infant neck

“…As a result, although minimally invasive endoscopic or robotic surgery may have benefits that are most desired in the pediatric patient population, it is precisely this population that poses the greatest challenge to applying these techniques [ 27 ]. Inspired by pioneering work in endoscopic neck surgery [ 21 , 22 , 31 , 32 ], and by robotic endoscopic surgery in ever-smaller spaces [ 28 , 30 , 33 ], we sought to determine whether robotic surgery could be successfully performed on a survival animal model with a neck the size of a human infant. Previous reports of endoscopic neck surgery that have used a porcine model of the adult neck have employed pigs ranging in size from 20 to 60 kg [ 21 , 22 , 34 , 35 ].…”