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Robotic fundoplication in children

Anderberg, Magnus LU ; Clementson Kockum, Christina LU and Arnbjörnsson, Einar LU (2007) In Pediatric Surgery International 23(2). p.123-127
Abstract
Since January 2006, robotic assistance has been used for performing minimal invasive laparoscopic fundoplications in children. These patients were compared with those operated on with either the open surgical technique or the laparoscopic procedure. The first six children operated on with a fundoplication using the operation robot, da Vinci (R) Surgical System from Intuitive Surgical (R), were included prospectively. As controls, data from the latest six children operated on using the open surgical procedure and the latest six children operated on using the minimal invasive laparoscopic technique were selected retrospectively. All the patients were operated on due to gastroesophageal reflux and were comparable in the De Meester score. The... (More)
Since January 2006, robotic assistance has been used for performing minimal invasive laparoscopic fundoplications in children. These patients were compared with those operated on with either the open surgical technique or the laparoscopic procedure. The first six children operated on with a fundoplication using the operation robot, da Vinci (R) Surgical System from Intuitive Surgical (R), were included prospectively. As controls, data from the latest six children operated on using the open surgical procedure and the latest six children operated on using the minimal invasive laparoscopic technique were selected retrospectively. All the patients were operated on due to gastroesophageal reflux and were comparable in the De Meester score. The main outcome measures were the operating time, the use of postoperative analgesics, the duration of the postoperative hospital stay and the short-term outcome. There was no significant difference between the three groups concerning age, body weight and preoperative 24 h pH measurement. The mean operating time for the robotic group, 213 min, was the longer one, but the operating time for the latest four patients in the robotic group was similar to that for the laparoscopic group, 189 min. The postoperative hospital stay was shorter and a reduction in the use of analgesics postoperatively was noted. The reduction in the postoperative hospital stay and in the use of analgesics had been already noted with the introduction of the minimal invasive laparoscopic technique. There was no difference in short-term clinical outcome; the gastroesophageal reflux symptoms disappeared in all the patients. Robot-assisted laparoscopic fundoplication is comparable with the standard laparoscopic surgical procedure in terms of duration of operation, postoperative hospital stay, use of postoperative analgesics and short-term clinical outcome. The robotic surgery adds qualities to the surgical work when compared with open or laparoscopic surgery. These include better visualisation for the surgeon and greater precision in the movements of the instruments used. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
robot, paediatric surgery, laparoscopy, System, children, da Vinci (R) Surgical, fundoplication, robotic surgery, prospective studies, esophagoscopy, gastroesophageal reflux, infant
in
Pediatric Surgery International
volume
23
issue
2
pages
123 - 127
publisher
Springer
external identifiers
  • wos:000243691300005
  • scopus:33846581481
ISSN
1437-9813
DOI
10.1007/s00383-006-1817-2
language
English
LU publication?
yes
id
a0cd14ff-9add-4b76-9fbc-ad1298f3af38 (old id 677223)
alternative location
http://link.springer.com/article/10.1007%2Fs00383-006-1817-2
http://www.ncbi.nlm.nih.gov/pubmed/17047900
date added to LUP
2007-12-05 10:03:53
date last changed
2017-09-10 04:23:14
@article{a0cd14ff-9add-4b76-9fbc-ad1298f3af38,
  abstract     = {Since January 2006, robotic assistance has been used for performing minimal invasive laparoscopic fundoplications in children. These patients were compared with those operated on with either the open surgical technique or the laparoscopic procedure. The first six children operated on with a fundoplication using the operation robot, da Vinci (R) Surgical System from Intuitive Surgical (R), were included prospectively. As controls, data from the latest six children operated on using the open surgical procedure and the latest six children operated on using the minimal invasive laparoscopic technique were selected retrospectively. All the patients were operated on due to gastroesophageal reflux and were comparable in the De Meester score. The main outcome measures were the operating time, the use of postoperative analgesics, the duration of the postoperative hospital stay and the short-term outcome. There was no significant difference between the three groups concerning age, body weight and preoperative 24 h pH measurement. The mean operating time for the robotic group, 213 min, was the longer one, but the operating time for the latest four patients in the robotic group was similar to that for the laparoscopic group, 189 min. The postoperative hospital stay was shorter and a reduction in the use of analgesics postoperatively was noted. The reduction in the postoperative hospital stay and in the use of analgesics had been already noted with the introduction of the minimal invasive laparoscopic technique. There was no difference in short-term clinical outcome; the gastroesophageal reflux symptoms disappeared in all the patients. Robot-assisted laparoscopic fundoplication is comparable with the standard laparoscopic surgical procedure in terms of duration of operation, postoperative hospital stay, use of postoperative analgesics and short-term clinical outcome. The robotic surgery adds qualities to the surgical work when compared with open or laparoscopic surgery. These include better visualisation for the surgeon and greater precision in the movements of the instruments used.},
  author       = {Anderberg, Magnus and Clementson Kockum, Christina and Arnbjörnsson, Einar},
  issn         = {1437-9813},
  keyword      = {robot,paediatric surgery,laparoscopy,System,children,da Vinci (R) Surgical,fundoplication,robotic surgery,prospective studies,esophagoscopy,gastroesophageal reflux,infant},
  language     = {eng},
  number       = {2},
  pages        = {123--127},
  publisher    = {Springer},
  series       = {Pediatric Surgery International},
  title        = {Robotic fundoplication in children},
  url          = {http://dx.doi.org/10.1007/s00383-006-1817-2},
  volume       = {23},
  year         = {2007},
}