دورية أكاديمية
Robotic-assisted Pediatric Thoracic and Abdominal Tumor Resection: An Initial Multi-center Review.
| العنوان: | Robotic-assisted Pediatric Thoracic and Abdominal Tumor Resection: An Initial Multi-center Review. |
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| المؤلفون: | Svetanoff WJ; Division of Pediatric Surgery, Nationwide Children's Hospital, Department of Surgery, The Ohio State University College of Medicine, Columbus, OH, USA., Carter M; Northwestern University Feinberg School of Medicine, Ann and Robert H. Lurie Children's Hospital of Chicago, Division of Pediatric Surgery, Chicago, IL, USA., Diefenbach KA; Division of Pediatric Surgery, Nationwide Children's Hospital, Department of Surgery, The Ohio State University College of Medicine, Columbus, OH, USA., Michalsky M; Division of Pediatric Surgery, Nationwide Children's Hospital, Department of Surgery, The Ohio State University College of Medicine, Columbus, OH, USA., DaJusta D; Nationwide Children's Hospital, Department of Pediatric Urology, Columbus, OH, USA., Gong E; Division of Pediatric Urology, Ann and Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, USA., Lautz TB; Northwestern University Feinberg School of Medicine, Ann and Robert H. Lurie Children's Hospital of Chicago, Division of Pediatric Surgery, Chicago, IL, USA., Aldrink JH; Division of Pediatric Surgery, Nationwide Children's Hospital, Department of Surgery, The Ohio State University College of Medicine, Columbus, OH, USA. Electronic address: Jennifer.Aldrink@nationwidechildrens.org. |
| المصدر: | Journal of pediatric surgery [J Pediatr Surg] 2024 Aug; Vol. 59 (8), pp. 1619-1625. Date of Electronic Publication: 2024 Feb 26. |
| نوع المنشور: | Journal Article; Multicenter Study |
| اللغة: | English |
| بيانات الدورية: | Publisher: Saunders Country of Publication: United States NLM ID: 0052631 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1531-5037 (Electronic) Linking ISSN: 00223468 NLM ISO Abbreviation: J Pediatr Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Philadelphia, PA : Saunders Original Publication: New York. |
| مواضيع طبية MeSH: | Robotic Surgical Procedures*/methods , Abdominal Neoplasms*/surgery , Thoracic Neoplasms*/surgery, Humans ; Female ; Male ; Retrospective Studies ; Child ; Adolescent ; Child, Preschool ; Infant ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Treatment Outcome ; Operative Time |
| مستخلص: | Introduction: Robotic-assisted minimally invasive surgery (RA-MIS) for tumor resection is an emerging technology in the pediatric population with significant promise but unproven safety and feasibility. Methods: A multi-center retrospective review of patients ≤18 years undergoing RA-MIS tumor resection from December 2015-March 2023 was performed. Patient demographics, perioperative variables, and complication rates were analyzed. Results: Thirty-nine procedures were performed on 38 patients (17 thoracic, 22 abdominal); 37% female and 68% non-Hispanic White. Median age at surgery was 8.3 years (IQR 5.7, 15.7); the youngest was 1.7 years-old. Thoracic operations included resections of neuroblastic tumors (n = 16) and a single paraganglioma. The most common abdominal operations included resections of neuroblastic tumors (n = 5), pheochromocytomas (n = 3), and angiomyolipomas (n = 3). Six patients underwent retroperitoneal lymph node dissection (RPLND) for paratesticular tumors. Median operating time for the cohort was 2:52 h (IQR 2:04, 4:31). Two thoracic cases required open conversion due to poor visualization and lack of working domain. All patients underwent complete tumor resection; one had tumor spillage from a positive margin (Wilms tumor). Median LOS was 1.5 days (IQR 1.1, 3.0). Postoperatively, one patient developed a chyle leak requiring interventional radiology drainage, but none required a return to the operating room. Conclusions: Robotic-assisted surgery is safe and feasible for tumor resection in carefully selected pediatric patients, achieving complete resection with minimal morbidity and short LOS. Resection should be performed by those with robotic expertise for optimal outcomes. Level of Evidence: IV. Type of Study: Original Clinical Research. Competing Interests: Conflicts of interest Dr. Marc Michalsky is a stockholder and educational honorarium with Intuitive Surgical. He also is on the Childhood Obesity Advisory Board for Lilly USA, LLC. No other authors have any disclosures. (Copyright © 2024 Elsevier Inc. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Minimally invasive surgery; Oncology; Pediatric surgery; Robotic surgery; Tumor resection |
| تواريخ الأحداث: | Date Created: 20240315 Date Completed: 20240718 Latest Revision: 20240831 |
| رمز التحديث: | 20240901 |
| DOI: | 10.1016/j.jpedsurg.2024.02.021 |
| PMID: | 38490885 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1531-5037 |
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| DOI: | 10.1016/j.jpedsurg.2024.02.021 |