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Robotic-assisted surgery in pediatrics: what is evidence-based?-a literature review.
Boscarelli, Alessandro; Giglione, Emanuela; Caputo, Maria Rita; Guida, Edoardo; Iaquinto, Marianna; Scarpa, Maria-Grazia; Olenik, Damiana; Codrich, Daniela; Schleef, Jürgen.
Afiliação
  • Boscarelli A; Department of Pediatric Surgery and Urology, Institute of Maternal and Child Health-IRCCS "Burlo Garofolo", Trieste, Italy.
  • Giglione E; Pediatric Surgery Division, Women's and Children's Health Department, University of Padua, Padua, Italy.
  • Caputo MR; Pediatric Surgery Division, Women's and Children's Health Department, University of Padua, Padua, Italy.
  • Guida E; Department of Pediatric Surgery and Urology, Institute of Maternal and Child Health-IRCCS "Burlo Garofolo", Trieste, Italy.
  • Iaquinto M; Department of Pediatric Surgery and Urology, Institute of Maternal and Child Health-IRCCS "Burlo Garofolo", Trieste, Italy.
  • Scarpa MG; Department of Pediatric Surgery and Urology, Institute of Maternal and Child Health-IRCCS "Burlo Garofolo", Trieste, Italy.
  • Olenik D; Department of Pediatric Surgery and Urology, Institute of Maternal and Child Health-IRCCS "Burlo Garofolo", Trieste, Italy.
  • Codrich D; Department of Pediatric Surgery and Urology, Institute of Maternal and Child Health-IRCCS "Burlo Garofolo", Trieste, Italy.
  • Schleef J; Department of Pediatric Surgery and Urology, Institute of Maternal and Child Health-IRCCS "Burlo Garofolo", Trieste, Italy.
Transl Pediatr ; 12(2): 271-279, 2023 Feb 28.
Article em En | MEDLINE | ID: mdl-36891357
Background and Objective: The use of robotic-assisted surgery (RAS) has increased more slowly in pediatrics than in the adult population. Despite the many advantages of robotic instruments, the da Vinci Surgical System (Intuitive Surgical, Sunnyvale, CA, USA) still presents some limitations for use in pediatric surgery. This study aims to examine evidence-based indications for RAS in the different fields of pediatric surgery according to the published literature. Methods: A database search (MEDLINE, Scopus, Web of Science) was performed to identify articles covering any aspect of RAS in the pediatric population. Using Boolean operators AND/OR, all possible combinations of the following search terms were used: robotic surgery, pediatrics, neonatal surgery, thoracic surgery, abdominal surgery, urologic surgery, hepatobiliary surgery, and surgical oncology. The selection criteria were limited to the English language, pediatric patients (under 18 years of age), and articles published after 2010. Key Content and Findings: A total of 239 abstracts were reviewed. Of these, 10 published articles met the purposes of our study with the highest level of evidence and therefore were analyzed. Notably, most of the articles included in this review reported evidence-based indications in urological surgery. Conclusions: According to this study, the exclusive indications for RAS in the pediatric population are pyeloplasty for ureteropelvic junction obstruction in older children and ureteral reimplantation according to the Lich-Gregoire technique in selected cases for the need to access the pelvis with a narrow anatomical and working space. All other indications for RAS in pediatric surgery are still under discussion to date, and cannot be supported by papers with a high level of evidence. However, RAS is certainly a promising technology. Further evidence is strongly encouraged in the future.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Prognostic_studies Idioma: En Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Prognostic_studies Idioma: En Ano de publicação: 2023 Tipo de documento: Article