Paediatric surgery in the robotic era: early experience and comparative analysis

The aim of this study is to present our preliminary experience in robotics and a comparative analysis with conventional Minimally- Invasive Surgery (MIS). Cases operated by da Vinci Xi® System from February 2016 to October 2017 are reviewed retrospectively through demographics, diagnosis-procedure a...

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Main Authors: Mario Lima, Eduje Thomas, Neil Di Salvo, Tommaso Gargano, Giovanni Ruggeri
Format: Article
Language:English
Published: PAGEPress Publications 2019-01-01
Series:La Pediatria Medica e Chirurgica
Subjects:
Online Access:http://pediatrmedchir.org/index.php/pmc/article/view/204
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author Mario Lima
Eduje Thomas
Neil Di Salvo
Tommaso Gargano
Giovanni Ruggeri
author_facet Mario Lima
Eduje Thomas
Neil Di Salvo
Tommaso Gargano
Giovanni Ruggeri
author_sort Mario Lima
collection DOAJ
description The aim of this study is to present our preliminary experience in robotics and a comparative analysis with conventional Minimally- Invasive Surgery (MIS). Cases operated by da Vinci Xi® System from February 2016 to October 2017 are reviewed retrospectively through demographics, diagnosis-procedure and short-term outcome parameters. A comparison with a matching conventional MIS population was also conducted. 40 robotic procedures were carried out and 112 (out of 3705) non-robotic procedures met inclusion criteria for comparison. Among robotic patients we observed: an average age of 143.5 months, weight of 42.9 Kg, operative and anaesthesia induction time respectively of 116.8 and 34.8 minutes. Furthermore, we observed a 6.1-day length of stay, 2.5% conversion rate and no complications. From the comparison between the groups, no statistical difference emerged in the length of stay, in conversion rates or in complications. A statistical significance was observed in terms of operative time in favour of non-Robotic- System. Our experience has meant to introduce the System in our surgical environment, comparing to the conventional MIS (an already established approach routinely performed at our center). Results have shown comparable safety and feasibility.
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spelling doaj.art-dc71487a459442fda3978a0c3960a9272022-12-21T19:01:12ZengPAGEPress PublicationsLa Pediatria Medica e Chirurgica0391-53872420-77482019-01-0141110.4081/pmc.2019.204Paediatric surgery in the robotic era: early experience and comparative analysisMario Lima0Eduje Thomas1Neil Di Salvo2Tommaso Gargano3Giovanni Ruggeri4Department of Paediatric Surgery, Sant’Orsola-Malpighi Hospital, University of Bologna, BolognaDepartment of Paediatric Surgery, Sant’Orsola-Malpighi Hospital, University of Bologna, BolognaDepartment of Paediatric Surgery, Sant’Orsola-Malpighi Hospital, University of Bologna, BolognaDepartment of Paediatric Surgery, Sant’Orsola-Malpighi Hospital, University of Bologna, BolognaDepartment of Paediatric Surgery, Sant’Orsola-Malpighi Hospital, University of Bologna, BolognaThe aim of this study is to present our preliminary experience in robotics and a comparative analysis with conventional Minimally- Invasive Surgery (MIS). Cases operated by da Vinci Xi® System from February 2016 to October 2017 are reviewed retrospectively through demographics, diagnosis-procedure and short-term outcome parameters. A comparison with a matching conventional MIS population was also conducted. 40 robotic procedures were carried out and 112 (out of 3705) non-robotic procedures met inclusion criteria for comparison. Among robotic patients we observed: an average age of 143.5 months, weight of 42.9 Kg, operative and anaesthesia induction time respectively of 116.8 and 34.8 minutes. Furthermore, we observed a 6.1-day length of stay, 2.5% conversion rate and no complications. From the comparison between the groups, no statistical difference emerged in the length of stay, in conversion rates or in complications. A statistical significance was observed in terms of operative time in favour of non-Robotic- System. Our experience has meant to introduce the System in our surgical environment, comparing to the conventional MIS (an already established approach routinely performed at our center). Results have shown comparable safety and feasibility.http://pediatrmedchir.org/index.php/pmc/article/view/204da Vinci Xi surgical systemPaediatric surgeryRobotic surgeryMinimally-invasiveLaparoscopy
spellingShingle Mario Lima
Eduje Thomas
Neil Di Salvo
Tommaso Gargano
Giovanni Ruggeri
Paediatric surgery in the robotic era: early experience and comparative analysis
La Pediatria Medica e Chirurgica
da Vinci Xi surgical system
Paediatric surgery
Robotic surgery
Minimally-invasive
Laparoscopy
title Paediatric surgery in the robotic era: early experience and comparative analysis
title_full Paediatric surgery in the robotic era: early experience and comparative analysis
title_fullStr Paediatric surgery in the robotic era: early experience and comparative analysis
title_full_unstemmed Paediatric surgery in the robotic era: early experience and comparative analysis
title_short Paediatric surgery in the robotic era: early experience and comparative analysis
title_sort paediatric surgery in the robotic era early experience and comparative analysis
topic da Vinci Xi surgical system
Paediatric surgery
Robotic surgery
Minimally-invasive
Laparoscopy
url http://pediatrmedchir.org/index.php/pmc/article/view/204
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