Senhance Robotic Platform in Pediatrics: Early US Experience
Introduction: Different robotic systems have been used widely in human surgery since 2000, but pediatric patients require some features that are lacking in the most frequently used robotic systems. Hypothesis: The Senhance<sup>®</sup> robotic system is a safe and an effective device for...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2023-01-01
|
| Series: | Children |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2227-9067/10/2/178 |
| _version_ | 1827758095117320192 |
|---|---|
| author | Maria Consuelo Puentes Marko Rojnica Thomas Sims Robert Jones Francesco M. Bianco Thom E. Lobe |
| author_facet | Maria Consuelo Puentes Marko Rojnica Thomas Sims Robert Jones Francesco M. Bianco Thom E. Lobe |
| author_sort | Maria Consuelo Puentes |
| collection | DOAJ |
| description | Introduction: Different robotic systems have been used widely in human surgery since 2000, but pediatric patients require some features that are lacking in the most frequently used robotic systems. Hypothesis: The Senhance<sup>®</sup> robotic system is a safe and an effective device for use in infants and children that has some advantages over other robotic systems. Methods: All patients between 0 and 18 years of age whose surgery was amenable to laparoscopy were offered enrollment in this IRB-approved study. We assessed the feasibility, ease and safety of using this robotic platform in pediatric patients including: set-up time, operative time, conversions, complications and outcomes. Results: Eight patients, ranging from 4 months to 17 years of age and weighing between 8 and 130 kg underwent a variety of procedures including: cholecystectomy (3), inguinal herniorrhaphy (3), orchidopexy for undescended testes (1) and exploration for a suspected enteric duplication cyst (1). All robotic procedures were successfully performed. The 4-month-old (mo), 8 kg patient underwent an uneventful robotic exploration in an attempt to locate a cyst that was hidden in the mesentery at the junction of the terminal ileum and cecum, but ultimately the patient required an anticipated laparotomy to palpate the cyst definitively and to excise it completely. There was no blood loss and no complications. Robotic manipulation with the reusable 3 mm instruments proved successful in all cases. Conclusions: Our initial experience with the Senhance<sup>®</sup> robotic platform suggests that this is a safe and effective device for pediatric surgery that is easy to use, and which warrants continued evaluation. Most importantly, there appears to be no lower age or weight restrictions to its use. |
| first_indexed | 2024-03-11T08:59:48Z |
| format | Article |
| id | doaj.art-41e091d446994c9d9959d20d538661b4 |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-11T08:59:48Z |
| publishDate | 2023-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-41e091d446994c9d9959d20d538661b42023-11-16T19:47:06ZengMDPI AGChildren2227-90672023-01-0110217810.3390/children10020178Senhance Robotic Platform in Pediatrics: Early US ExperienceMaria Consuelo Puentes0Marko Rojnica1Thomas Sims2Robert Jones3Francesco M. Bianco4Thom E. Lobe5Department of Surgery, The University of Illinois, 840 S Wood Street, Ste 416, Chicago, IL 60612, USADepartment of Surgery, The University of Illinois, 840 S Wood Street, Ste 416, Chicago, IL 60612, USADepartment of Surgery, The University of Illinois, 840 S Wood Street, Ste 416, Chicago, IL 60612, USAMount Sinai Hospital, Chicago, IL 60608, USADepartment of Surgery, The University of Illinois, 840 S Wood Street, Ste 416, Chicago, IL 60612, USADepartment of Surgery, The University of Illinois, 840 S Wood Street, Ste 416, Chicago, IL 60612, USAIntroduction: Different robotic systems have been used widely in human surgery since 2000, but pediatric patients require some features that are lacking in the most frequently used robotic systems. Hypothesis: The Senhance<sup>®</sup> robotic system is a safe and an effective device for use in infants and children that has some advantages over other robotic systems. Methods: All patients between 0 and 18 years of age whose surgery was amenable to laparoscopy were offered enrollment in this IRB-approved study. We assessed the feasibility, ease and safety of using this robotic platform in pediatric patients including: set-up time, operative time, conversions, complications and outcomes. Results: Eight patients, ranging from 4 months to 17 years of age and weighing between 8 and 130 kg underwent a variety of procedures including: cholecystectomy (3), inguinal herniorrhaphy (3), orchidopexy for undescended testes (1) and exploration for a suspected enteric duplication cyst (1). All robotic procedures were successfully performed. The 4-month-old (mo), 8 kg patient underwent an uneventful robotic exploration in an attempt to locate a cyst that was hidden in the mesentery at the junction of the terminal ileum and cecum, but ultimately the patient required an anticipated laparotomy to palpate the cyst definitively and to excise it completely. There was no blood loss and no complications. Robotic manipulation with the reusable 3 mm instruments proved successful in all cases. Conclusions: Our initial experience with the Senhance<sup>®</sup> robotic platform suggests that this is a safe and effective device for pediatric surgery that is easy to use, and which warrants continued evaluation. Most importantly, there appears to be no lower age or weight restrictions to its use.https://www.mdpi.com/2227-9067/10/2/178roboticsrobotic pediatric surgerySenhancepediatric surgeryinfants |
| spellingShingle | Maria Consuelo Puentes Marko Rojnica Thomas Sims Robert Jones Francesco M. Bianco Thom E. Lobe Senhance Robotic Platform in Pediatrics: Early US Experience Children robotics robotic pediatric surgery Senhance pediatric surgery infants |
| title | Senhance Robotic Platform in Pediatrics: Early US Experience |
| title_full | Senhance Robotic Platform in Pediatrics: Early US Experience |
| title_fullStr | Senhance Robotic Platform in Pediatrics: Early US Experience |
| title_full_unstemmed | Senhance Robotic Platform in Pediatrics: Early US Experience |
| title_short | Senhance Robotic Platform in Pediatrics: Early US Experience |
| title_sort | senhance robotic platform in pediatrics early us experience |
| topic | robotics robotic pediatric surgery Senhance pediatric surgery infants |
| url | https://www.mdpi.com/2227-9067/10/2/178 |
| work_keys_str_mv | AT mariaconsuelopuentes senhanceroboticplatforminpediatricsearlyusexperience AT markorojnica senhanceroboticplatforminpediatricsearlyusexperience AT thomassims senhanceroboticplatforminpediatricsearlyusexperience AT robertjones senhanceroboticplatforminpediatricsearlyusexperience AT francescombianco senhanceroboticplatforminpediatricsearlyusexperience AT thomelobe senhanceroboticplatforminpediatricsearlyusexperience |