Abstract
Partial splenectomy has emerged as a surgical option for children with hereditary spherocytosis. The goal of reducing anemia and hypersplenism while preserving splenic immunologic function to avoid potential Overwhelming Post-Splenectomy Infection (OPSI) is logical.
Highlights
Robotic surgery is growing in popularity, but it is unclear whether the displacement of surgeon from the bedside affects outcomes when an unexpected and potentially catastrophic bleeding complication is encountered
After adjusting for baseline characteristics, the robotic approach had higher odds of major complications and longer operating room time than the laparoscopic approach; subgroup analysis revealed that this difference was most pronounced among in the healthiest patients (Charlson Comorbidity Index ≤ 1)
This study suggests potentially catastrophic surgical crises may be more difficult to manage with the robotic approach compared to the laparoscopic approach
Summary
Robotic surgery is growing in popularity, but it is unclear whether the displacement of surgeon from the bedside affects outcomes when an unexpected and potentially catastrophic bleeding complication is encountered. This study aimed to compare the outcomes between the robotic and laparoscopic approaches when a surgical crisis was encountered during a major urologic procedure. While supporters of robotic technology argued that this system was an improvement over traditional laparoscopy, skeptics raised concerns. The primary surgeon is seated at a console away from the patient and manipulates the robotic device docked to laparoscopic ports at the bedside. Accepted: September 28, 2019 Published online: September 30, 2019 Citation: Ingham MD, Rowe CK, Wang Y, et al (2019) Surgical Crisis: Does the Robot Help or Hinder?.
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