Robotic-assisted surgery in pediatrics: what is evidence-based?-a literature review.
Robotic surgery
evidence-based practice
literature review
pediatrics
Journal
Translational pediatrics
ISSN: 2224-4344
Titre abrégé: Transl Pediatr
Pays: China
ID NLM: 101649179
Informations de publication
Date de publication:
28 Feb 2023
28 Feb 2023
Historique:
received:
15
07
2022
accepted:
10
11
2022
entrez:
9
3
2023
pubmed:
10
3
2023
medline:
10
3
2023
Statut:
ppublish
Résumé
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. 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. 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. 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.
Sections du résumé
Background and Objective
UNASSIGNED
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
UNASSIGNED
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
UNASSIGNED
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
UNASSIGNED
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.
Identifiants
pubmed: 36891357
doi: 10.21037/tp-22-338
pii: tp-12-02-271
pmc: PMC9986791
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
271-279Informations de copyright
2023 Translational Pediatrics. All rights reserved.
Déclaration de conflit d'intérêts
Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at https://tp.amegroups.com/article/view/10.21037/tp-22-338/coif). The authors have no conflicts of interest to declare.
Références
J Robot Surg. 2018 Mar;12(1):109-115
pubmed: 28455800
J Pediatr Surg. 2017 Feb;52(2):264-267
pubmed: 28007417
Pediatr Surg Int. 2015 Jun;31(6):529-34
pubmed: 25895070
J Pediatr Urol. 2021 Aug;17(4):502-510
pubmed: 33812779
Ann Surg Oncol. 2022 Feb;29(2):1315-1326
pubmed: 34523002
Int Surg. 2015 Jan;100(1):115-22
pubmed: 25594650
BMJ. 2016 Oct 12;355:i4919
pubmed: 27733354
World J Gastroenterol. 2019 Mar 28;25(12):1432-1444
pubmed: 30948907
Comput Assist Surg (Abingdon). 2016 Dec;21(1):127-131
pubmed: 27973949
J Surg Res. 2015 Nov;199(1):169-76
pubmed: 26013442
Pediatr Surg Int. 2020 Feb;36(2):209-218
pubmed: 31659436
Eur J Pediatr Surg. 2021 Feb;31(1):54-64
pubmed: 33027837
Eur J Pediatr Surg. 2022 Apr;32(2):170-176
pubmed: 33378777
Int J Med Robot. 2013 Dec;9(4):428-32
pubmed: 23801656
Semin Pediatr Surg. 2021 Aug;30(4):151082
pubmed: 34412879
Pediatr Surg Int. 2014 Mar;30(3):291-4
pubmed: 24458067
J Pediatr Surg. 2003 May;38(5):720-4
pubmed: 12720179
Ann R Coll Surg Engl. 2018 Sep;100(Suppl 7):18-21
pubmed: 30179047
Surg Endosc. 2018 Apr;32(4):2106-2113
pubmed: 29067582
Surg Laparosc Endosc Percutan Tech. 2016 Apr;26(2):117-23
pubmed: 26766316
Urol Clin North Am. 2021 Feb;48(1):147-150
pubmed: 33218589
Children (Basel). 2022 Feb 03;9(2):
pubmed: 35204919
Ann Thorac Cardiovasc Surg. 2016;22(1):1-5
pubmed: 26822625
J Robot Surg. 2010 May;4(1):19-22
pubmed: 27638567
Clin Perinatol. 2017 Dec;44(4):805-818
pubmed: 29127962
Interact Cardiovasc Thorac Surg. 2015 Mar;20(3):300-3
pubmed: 25476460
Cochrane Database Syst Rev. 2015 Jan 05;1:CD008403
pubmed: 25560834
Urol Clin North Am. 2021 Feb;48(1):113-125
pubmed: 33218586
Surg Clin North Am. 2020 Apr;100(2):431-443
pubmed: 32169188
J Pediatr Surg. 2014 Apr;49(4):646-52
pubmed: 24726129
Int J Surg. 2020 Oct;82S:187-191
pubmed: 32615320
Plast Reconstr Surg. 2011 Jul;128(1):305-310
pubmed: 21701348
J Pediatr Adolesc Gynecol. 2013 Feb;26(1):e5-7
pubmed: 23158752
Curr Urol Rep. 2019 May 18;20(7):35
pubmed: 31104148
J Laparoendosc Adv Surg Tech A. 2019 Feb;29(2):136-140
pubmed: 30222503
J Pediatr Surg. 2011 May;46(5):904-7
pubmed: 21616250
J Minim Invasive Gynecol. 2021 Mar;28(3):490-495
pubmed: 33310145
J Robot Surg. 2020 Feb;14(1):191-197
pubmed: 30993523
J Pediatr Urol. 2021 Dec;17(6):857.e1-857.e7
pubmed: 34635439
Surg Endosc. 2020 Jan;34(1):361-367
pubmed: 30953199
J Pediatr Surg. 2015 Feb;50(2):232-5
pubmed: 25638608
Surg Endosc. 2018 Apr;32(4):1636-1655
pubmed: 29442240
Pediatr Surg Int. 2015 Mar;31(3):261-9
pubmed: 25627699
J Pediatr Surg. 2013 Apr;48(4):858-65
pubmed: 23583146
Front Surg. 2019 Mar 12;6:9
pubmed: 30915338