Colorectal Robotic-Assisted Surgery in Children. Long-Term Outcomes and Pitfalls

IF 2.3 3区医学 Q2 SURGERY

International Journal of Medical Robotics and Computer Assisted Surgery Pub Date : 2024-12-19 DOI:10.1002/rcs.70032

Carlos Delgado-Miguel, Laura Reparaz, Wright Clarkson, Karina Desai, Juan I. Camps

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Abstract

Background

Colorectal surgical procedures may benefit from a minimally invasive approach in children, although there are few studies.

Methods

A retrospective, single-centre observational study was conducted on paediatric patients who underwent colorectal robotic-assisted surgery between 2011 and 2022.

Results

A total of 50 patients (33 male; 17 female) were included, with a median age of 4.8 years (IQR:2.5–6.3 years). The main indication was robotic Soave pull-through for Hirschsprung's disease in 21 cases. No conversions or intraoperative complications were reported. Operative time varied depending on the procedure, with a median of 183 min (IQR:151–224 min). Median hospital stay was 4 days (IQR:3–5 days). Four postoperative complications were observed, two of them Clavien-Dindo IIIb (one colo-anal partial dehiscence and one anastomotic leak after megasigmoid resection). Regarding long-term follow-up (median 7.6 years; IQR:4.8–10.6 years), 4 patients (8%) required surgical reintervention.

Conclusion

Colorectal robotic-assisted surgery encompasses several procedures with low complication rates and satisfactory long-term outcomes.

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儿童结肠直肠机器人辅助手术。长期结果和陷阱。

背景：儿童结肠直肠外科手术可能受益于微创入路，尽管研究很少。方法：对2011年至2022年间接受结直肠机器人辅助手术的儿科患者进行回顾性、单中心观察研究。结果：共50例患者(男33例；女性17例，中位年龄4.8岁（IQR:2.5 ~ 6.3岁）。21例先天性巨结肠疾病的主要适应症是机器人索韦拉通。无转归或术中并发症报道。手术时间因手术方式而异，中位数为183分钟（IQR:151-224分钟）。中位住院时间为4天（IQR:3-5天）。术后出现4例并发症，其中2例为Clavien-Dindo IIIb（大乙状结肠切除术后结肠肛管部分裂开1例，吻合口漏1例）。关于长期随访(中位7.6年；IQR:4.8-10.6年)，4例（8%）患者需要手术再干预。结论：结直肠机器人辅助手术包括多种手术，并发症发生率低，长期疗效满意。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Medical Robotics and Computer Assisted Surgery 医学-外科

CiteScore

4.50

自引率

12.00%

发文量

131

审稿时长

6-12 weeks

期刊介绍： The International Journal of Medical Robotics and Computer Assisted Surgery provides a cross-disciplinary platform for presenting the latest developments in robotics and computer assisted technologies for medical applications. The journal publishes cutting-edge papers and expert reviews, complemented by commentaries, correspondence and conference highlights that stimulate discussion and exchange of ideas. Areas of interest include robotic surgery aids and systems, operative planning tools, medical imaging and visualisation, simulation and navigation, virtual reality, intuitive command and control systems, haptics and sensor technologies. In addition to research and surgical planning studies, the journal welcomes papers detailing clinical trials and applications of computer-assisted workflows and robotic systems in neurosurgery, urology, paediatric, orthopaedic, craniofacial, cardiovascular, thoraco-abdominal, musculoskeletal and visceral surgery. Articles providing critical analysis of clinical trials, assessment of the benefits and risks of the application of these technologies, commenting on ease of use, or addressing surgical education and training issues are also encouraged. The journal aims to foster a community that encompasses medical practitioners, researchers, and engineers and computer scientists developing robotic systems and computational tools in academic and commercial environments, with the intention of promoting and developing these exciting areas of medical technology.