Robotic-assisted proctosigmoidectomy for Hirschsprung’s disease: A multicenter prospective study

Zhang, Meng-Xin; Zhang, Xi; Chang, Xiaopan; Zeng, Jixiao; Bian, Hongqiang; Cao, Guoqing; Li, Shuai; Chi, Shuiqing; Zhou, Ying; Rong, Liying; Wan, Li; Tang, Shaotao

doi:10.3748/wjg.v29.i23.3715

Cited by 1 publication

(5 citation statements)

References 52 publications

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“…After removing duplicates and title and abstract screening, 35 studies were assessed for eligibility through full-text evaluations. In the end, fifteen studies were considered eligible and included in the review ( Figure 1 ) [ 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 ].…”

Section: Resultsmentioning

confidence: 99%

“…Faecal incontinence ranged from 0% to 22.2%, with 7/9 studies reporting less than 7% incontinence within their follow-up. Follow-ups ranged from 4.5 to 79 months across the included studies [ 15 , 17 , 18 , 19 , 22 , 24 , 26 ].…”

Section: Resultsmentioning

confidence: 99%

“… Port placement in robotic surgery for Hirschsprung’s disease. This is the most common setup reported in the included studies [ 15 , 17 , 18 , 19 , 22 , 24 , 26 ], with the ports varying between a 5 and 8 mm size depending on the surgical system used. Blue circles: robotic ports; red circle: assistant ports.…”

Section: Figurementioning

confidence: 99%

“…For comparative studies, variables with significant differences are indicated with *. OT = operative time; LOS = length of stay (in days); IOC = intra-operative complication; POC = postoperative complication; Rob = robotic; Lap = laparoscopic; TU-LESS = transumbilical laparoscopy single-site surgery; NA = Not Applicable [15,[17][18][19]22,24,26].…”

Section: Other Diseasesmentioning

confidence: 99%

“…Studies on robotic surgery for paediatric gastrointestinal diseases. RSC = retrospective single-centre; PSC = prospective single-centre; PMC = prospective multi-centre; NA = Not Applicable; IQR = Interquartile range; ARM = anorectal malformation[15][16][17][18][19][20][21][22][23][24][25][26][27][28][29].…”

mentioning

confidence: 99%

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Robotic Approach to Paediatric Gastrointestinal Diseases: A Systematic Review

Duhoky,

Claxton,

Piozzi

et al. 2024

Children

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Introduction: The use of minimally invasive surgery (MIS) for paediatric surgery has been on the rise since the early 2000s and is complicated by factors unique to paediatric surgery. The rise of robotic surgery has presented an opportunity in MIS for children, and recent developments in the reductions in port sizes and single-port surgery offer promising prospects. This study aimed to present a systematic overview and analysis of the existing literature around the use of robotic platforms in the treatment of paediatric gastrointestinal diseases. Materials and Methods: In accordance with the PRISMA Statement, a systematic review on paediatric robotic gastrointestinal surgery was conducted on Pubmed, Cochrane, and Scopus. A critical appraisal of the study was performed using the Newcastle Ottawa Scale. Results: Fifteen studies were included, of which seven were on Hirschsprung’s disease and eight on other indications. Included studies were heterogeneous in their populations, age, and sex, but all reported low incidences of intraoperative complications and conversions in their robotic cohorts. Only one study reported on a comparator cohort, with a longer operative time in the robotic cohort (180 vs. 152 and 156 min, p < 0.001), but no significant differences in blood loss, length of stay, intraoperative complications, postoperative complications, or conversion. Conclusions: Robotic surgery may play a role in the treatment of paediatric gastrointestinal diseases. There is limited data available on modern robotic platforms and almost no comparative data between any robotic platforms and conventional minimally invasive approaches. Further technological developments and research are needed to enhance our understanding of the potential that robotics may hold for the field of paediatric surgery.

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