Abstract
BackgroundThe minimally invasive surgery (MIS) in term of robot-assisted surgery changed in a dramatic way the surgical approach either in adults or children. For many specialties (urology, gynecology, general surgery) robotic surgery rapidly became the gold standard for some procedures, while the experience in pediatric population is not wide for some reasons. The aim of this study is to retrospective analyze trends of application of robotic surgery in pediatric patients across the country, focusing on indications, limitations, development, and training acquired by national experience and in comparison to the literature.MethodsWe made a retrospective multicenter study on behalf of Italian Society of Pediatric Surgery. We performed a census among all pediatric surgery units in the country to enroll those performing robotic surgery on children between 2013 and 2019.ResultsWe enrolled 7 pediatric surgery referral Centers (Ancona, Bologna, Brescia, Genova, Pavia, Pescara, Siena). A total of 303 patients were included in the study, 164 males (54%) and 139 females (46%). The most commonly performed interventions for each anatomic area were respectively atypical pulmonary resection (38%), pyeloplasty (49%), and fundoplication (30%).ConclusionsSince its first application in Italy, about 10 years ago, several considerations were made about application and feasibility of robotics in children.
Highlights
The minimally invasive surgery (MIS) in term of robot-assisted surgery changed in a dramatic way the surgical approach either in adults or children
For some specialties, such as urology, gynecology and colorectal surgery, robotic surgery rapidly became the gold standard for some procedures in adults [3]
The aim of our study is to retrospectively analyze trends of application of robotic surgery in pediatric patients across the country, focusing on indications, limitations, development and training acquired by national experience and in comparison to the literature
Summary
The minimally invasive surgery (MIS) in term of robot-assisted surgery changed in a dramatic way the surgical approach either in adults or children. For many specialties (urology, gynecology, general surgery) robotic surgery rapidly became the gold standard for some procedures, while the experience in pediatric population is not wide for some reasons. Surgical Robot as Da Vinci ® offers three-dimensional (3D) visualization, a significantly improved instrumentation dexterity coupled with motion scaling, allowing surgeons to perform complex reconstructive procedures [2]. For some specialties, such as urology, gynecology and colorectal surgery, robotic surgery rapidly became the gold standard for some procedures in adults [3]. Since its first application in Italy about 10 years ago, several considerations
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