Robot-Assisted Laparoscopic Nephrectomy for Wilms' Tumour in Children

IF 2.3 3区医学 Q2 SURGERY

International Journal of Medical Robotics and Computer Assisted Surgery Pub Date : 2025-07-10 DOI:10.1002/rcs.70088

Min He, Shuangai Liu, Xiaohui Ma, Jiabin Cai, Xuan Wu, Junqin Mao, Linjie Li, Lifeng Zhang, Meidan Ying, Ziqi He, Ting Tao, Jinhu Wang, Xiang Yan

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引用次数: 0

Abstract

Background

The purpose of this study was to share our experiences with robot-assisted laparoscopic nephrectomy (RALN) for WT in children and to discuss the technical points and indications.

Methods

Patients with WT undergoing RALN between May 2020 and December 2022 were retrospectively analysed. Patient demographics, operative details, postoperative outcomes and follow-up were recorded.

Results

A total of 10 patients with WT who underwent RALN were enrolled in this study. The tumour diameter at operation was 70.2 ± 26.1 mm. The median tumour-abdominal volume ratio (TAVR) was 6.8% (range, 1.9%–14.8%). RALN was successfully performed in all the 10 patients without conversion, tumour rupture or operative complications. No local recurrence or death occurred during the follow-up period.

Conclusion

RALN for the treatment of WT in children appears to be safe and feasible in selected patients. Robotic surgery offers an effective alternative to laparoscopic surgery, appropriately expanding indications when performed by experienced surgeons.

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机器人辅助腹腔镜下儿童肾母细胞瘤切除术

本研究的目的是分享机器人辅助腹腔镜肾切除术（RALN）治疗儿童WT的经验，并讨论技术要点和适应证。方法回顾性分析2020年5月至2022年12月期间接受RALN治疗的WT患者。记录患者人口统计、手术细节、术后结果和随访情况。结果共有10例WT患者接受了RALN手术。术中肿瘤直径70.2±26.1 mm。中位肿瘤与腹部体积比（TAVR）为6.8%（范围1.9%-14.8%）。10例患者均成功行RALN手术，无移位、肿瘤破裂及手术并发症。随访期间无局部复发或死亡。结论RALN治疗儿童WT在特定患者中是安全可行的。机器人手术为腹腔镜手术提供了有效的替代方案，当有经验的外科医生进行手术时，可以适当地扩大适应症。

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.