Implementation of Robotic Surgery in a Pediatric Hospital: Lessons Learned

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Henri SteyaertLuc Joyeux

Abstract

Since the late 1980s, minimally invasive surgery (MIS) has been one of the fastest growing approaches for surgical procedures. However, its development has reached a plateau. One of the reasons is the difficulty to operate on more complex cases, such as neonatal procedures. Some experts report outstanding outcomes for complex operations, but not all surgeons may be able to achieve the same results. Is robotic surgery (RS) a solution? To answer this question, we reviewed the current indications of RS for the pediatric population and the steps needed to incorporate the robotic surgical system in a children's hospital. We reported our experience and presented our first results and the encountered problems. After a year and a half of experience with RS, several lessons were learned: (1) the current robotic surgical system cannot yet be considered a replacement to conventional MIS, (2) docking is less time consuming than expected, (3) postoperative pain is significantly decreased, (4) the absence of haptic feedback is still a matter of concern, and (5) costs can be afforded by sharing the RS with adult surgeons. Based on our experience, the advantages seem to outweigh the drawbacks as it encourages team building and increases overal...Continue Reading

References

Mar 27, 2013·The Cancer Journal·John J Meehan
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Jun 5, 2013·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Yann ChaussyDidier Aubert
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Jan 15, 2016·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Malene BroholmJacob Rosenberg
Feb 24, 2016·Fetal Diagnosis and Therapy·Luc JoyeuxJan Deprest
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Nov 5, 2016·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Ciro AndolfiStephen Small
Jan 19, 2017·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Ciro Andolfi, Konstantin Umanskiy

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Citations

Jan 1, 2019·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Ciro Andolfi, Konstantin Umanskiy
Jan 25, 2020·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Donatella Di FabrizioPierluigi Lelli Chiesa
Jan 10, 2020·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Ciro EspositoMaria Escolino
Oct 29, 2020·Surgical Endoscopy·Holden W RichardsMarc P Michalsky

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