Robotic Approach to Paediatric Gastrointestinal Diseases: A Systematic Review
Introduction: The use of minimally invasive surgery (MIS) for paediatric surgery has been on the rise since the early 2000s and is complicated by factors unique to paediatric surgery. The rise of robotic surgery has presented an opportunity in MIS for children, and recent developments in the reducti...
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-02-01
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| Series: | Children |
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| Online Access: | https://www.mdpi.com/2227-9067/11/3/273 |
| _version_ | 1797241639337459712 |
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| author | Rauand Duhoky Harry Claxton Guglielmo Niccolò Piozzi Jim S. Khan |
| author_facet | Rauand Duhoky Harry Claxton Guglielmo Niccolò Piozzi Jim S. Khan |
| author_sort | Rauand Duhoky |
| collection | DOAJ |
| description | Introduction: The use of minimally invasive surgery (MIS) for paediatric surgery has been on the rise since the early 2000s and is complicated by factors unique to paediatric surgery. The rise of robotic surgery has presented an opportunity in MIS for children, and recent developments in the reductions in port sizes and single-port surgery offer promising prospects. This study aimed to present a systematic overview and analysis of the existing literature around the use of robotic platforms in the treatment of paediatric gastrointestinal diseases. Materials and Methods: In accordance with the PRISMA Statement, a systematic review on paediatric robotic gastrointestinal surgery was conducted on Pubmed, Cochrane, and Scopus. A critical appraisal of the study was performed using the Newcastle Ottawa Scale. Results: Fifteen studies were included, of which seven were on Hirschsprung’s disease and eight on other indications. Included studies were heterogeneous in their populations, age, and sex, but all reported low incidences of intraoperative complications and conversions in their robotic cohorts. Only one study reported on a comparator cohort, with a longer operative time in the robotic cohort (180 vs. 152 and 156 min, <i>p</i> < 0.001), but no significant differences in blood loss, length of stay, intraoperative complications, postoperative complications, or conversion. Conclusions: Robotic surgery may play a role in the treatment of paediatric gastrointestinal diseases. There is limited data available on modern robotic platforms and almost no comparative data between any robotic platforms and conventional minimally invasive approaches. Further technological developments and research are needed to enhance our understanding of the potential that robotics may hold for the field of paediatric surgery. |
| first_indexed | 2024-04-24T18:26:31Z |
| format | Article |
| id | doaj.art-231b034d0ff44c7cbab827622c6dccc7 |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-04-24T18:26:31Z |
| publishDate | 2024-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-231b034d0ff44c7cbab827622c6dccc72024-03-27T13:30:59ZengMDPI AGChildren2227-90672024-02-0111327310.3390/children11030273Robotic Approach to Paediatric Gastrointestinal Diseases: A Systematic ReviewRauand Duhoky0Harry Claxton1Guglielmo Niccolò Piozzi2Jim S. Khan3Department of Colorectal Surgery, Portsmouth Hospitals University NHS Trust, Portsmouth PO6 3LY, UKDepartment of Paediatric Surgery, University Hospital Southampton NHS Foundation Trust, Southampton SO16 6YD, UKDepartment of Colorectal Surgery, Portsmouth Hospitals University NHS Trust, Portsmouth PO6 3LY, UKDepartment of Colorectal Surgery, Portsmouth Hospitals University NHS Trust, Portsmouth PO6 3LY, UKIntroduction: The use of minimally invasive surgery (MIS) for paediatric surgery has been on the rise since the early 2000s and is complicated by factors unique to paediatric surgery. The rise of robotic surgery has presented an opportunity in MIS for children, and recent developments in the reductions in port sizes and single-port surgery offer promising prospects. This study aimed to present a systematic overview and analysis of the existing literature around the use of robotic platforms in the treatment of paediatric gastrointestinal diseases. Materials and Methods: In accordance with the PRISMA Statement, a systematic review on paediatric robotic gastrointestinal surgery was conducted on Pubmed, Cochrane, and Scopus. A critical appraisal of the study was performed using the Newcastle Ottawa Scale. Results: Fifteen studies were included, of which seven were on Hirschsprung’s disease and eight on other indications. Included studies were heterogeneous in their populations, age, and sex, but all reported low incidences of intraoperative complications and conversions in their robotic cohorts. Only one study reported on a comparator cohort, with a longer operative time in the robotic cohort (180 vs. 152 and 156 min, <i>p</i> < 0.001), but no significant differences in blood loss, length of stay, intraoperative complications, postoperative complications, or conversion. Conclusions: Robotic surgery may play a role in the treatment of paediatric gastrointestinal diseases. There is limited data available on modern robotic platforms and almost no comparative data between any robotic platforms and conventional minimally invasive approaches. Further technological developments and research are needed to enhance our understanding of the potential that robotics may hold for the field of paediatric surgery.https://www.mdpi.com/2227-9067/11/3/273gastrointestinal diseasepaediatric surgeryrobotic surgerychildrencolorectalcongenital |
| spellingShingle | Rauand Duhoky Harry Claxton Guglielmo Niccolò Piozzi Jim S. Khan Robotic Approach to Paediatric Gastrointestinal Diseases: A Systematic Review Children gastrointestinal disease paediatric surgery robotic surgery children colorectal congenital |
| title | Robotic Approach to Paediatric Gastrointestinal Diseases: A Systematic Review |
| title_full | Robotic Approach to Paediatric Gastrointestinal Diseases: A Systematic Review |
| title_fullStr | Robotic Approach to Paediatric Gastrointestinal Diseases: A Systematic Review |
| title_full_unstemmed | Robotic Approach to Paediatric Gastrointestinal Diseases: A Systematic Review |
| title_short | Robotic Approach to Paediatric Gastrointestinal Diseases: A Systematic Review |
| title_sort | robotic approach to paediatric gastrointestinal diseases a systematic review |
| topic | gastrointestinal disease paediatric surgery robotic surgery children colorectal congenital |
| url | https://www.mdpi.com/2227-9067/11/3/273 |
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