Pediatric robotic surgery: A single-institutional review of the first 100 consecutive cases

摘要: Robotic surgery is a new technology which may expand the variety of operations surgeon can perform with minimally invasive techniques. We present retrospective review our first 100 consecutive robotic cases in children. A three-arm robot was used one camera arm and two instrument arms. Additional accessory ports were utilized as necessary. Two different attending surgeons performed procedures. Twenty-four types procedures completed using robot. The majority (89%) abdominal 11% thoracic. No urology or cardiac performed. Age ranged from 1 day to 23 years an average age 8.4 years. Weight 2.2 103 kg median weight 27.9 kg. Twenty-two patients less than 10.0 Examples included gastrointestinal (GI) surgery, hepatobiliary, surgical oncology, congenital anomalies. overall had never been invasively by authors. intraoperative conversion rate open 13%. One case (1%) converted thoracoscopic because lack domain for articulating instruments. conversions complications occurred result injuries Interestingly, four due equipment failures standard laparoscopic instruments through non-robotic ports. safe effective An enormous be safely including complex neonates small Simple such cholecystectomies have minimal advantages but serve excellent teaching tools residents newcomers this form (MIS). ideal hepatobiliary thoracic particularly solid chest masses.