Robotic Assisted Surgery in Pediatric Gynecology: Promising Innovation in Mini Invasive Surgical Procedures

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• 作者：Ghassan Nakib ; MD¹ ; Valeria Calcaterra ; MD² ; Federico Scorletti ; MD¹ ; Piero Romano ; MD¹ ; Ilaria Goruppi ; MD¹ ; Simonetta Mencherini ; MD³ ; Luigi Avolio ; MD¹ ; Gloria Pelizzo ; MD¹ ; ^{g.pelizzo@smatteo.pv.it}
• 关键词：Robotic ; Surgery ; Gynecology ; Children
• 刊名：Journal of Pediatric and Adolescent Gynecology
• 出版年：2013
• 出版时间：February, 2013
• 年：2013
• 卷：26
• 期：1
• 页码：e5-e7
• 全文大小：185 K

文摘

Study Objective

Robotic assisted surgery is not yet widely applied in the pediatric field. We report our initial experience regarding the feasibility, safety, benefits, and limitations of robot-assisted surgery in pediatric gynecological patients.

Design

Descriptive, retrospective report of experience with pediatric gynecological patients over a period of 12 months.

Setting

Department of Pediatric Surgery, IRCCS Policlinico San Matteo Foundation.

Participants

Children and adolescents, with a surgical diagnosis of ovarian and/or tubal lesions.

Main Outcome Measures

Robot assembly time and operative time, days of hospitalization, time to cessation of pain medication, complication rate, conversion rate to laparoscopic procedure and trocar insertion strategy.

Results

Six children and adolescents (2.4-15 yrs), weighing 12-55 kg, underwent robotic assisted surgery for adnexal pathologies: 2 for ovarian cystectomy, 2 for oophorectomy, 1 for right oophorectomy and left salpingo-oophorectomy for gonadal disgenesis, 1 for exploration for suspected pelvic malformation. Mean operative time was 117.5?¡À?34.9 minutes. Conversion to laparatomy was not necessary in any of the cases. No intra- or postoperative complications occurred.

Conclusion

Initial results indicate that robotic assisted surgery is safely applicable in the pediatric gynecological population, although it is still premature to conclude that it provides better clinical outcomes than traditional laparoscopic surgery. Randomized, prospective, comparative studies will help characterize the advantages and disadvantages of this new technology in pediatric patients.