“Robotic gastric banding in children and adolescents: a comparative study.”
Alqahtani, A. (2011).
Surgical Endoscopy: 1-5.
Background: Minimally invasive techniques are becoming the gold standard approach to surgical treatment of obesity in adults. Robotic surgical systems have the potential to advance the use and development of minimally invasive procedures. To date, there is no study of outcomes following robotic-assisted gastric banding (RAGB) compared with laparoscopic adjustable gastric banding (LAGB) in children and adolescents. This study was undertaken to compare a single surgeon’s results using the da Vinci surgical system for RAGB with those using LAGB in this group of patients. Methods: A retrospective data analysis of 25 patients who underwent RAGB compared with 50 patients who underwent LAGB. Results: The 75 patients were 8-21 years of age and included 42 (54.5%) girls. Patients in the two groups had similar baseline characteristics including gender, age, body mass index (BMI), and presence of comorbidities. No significant differences in complication rate, length of stay or percent excess weight loss at 1 year were found between the two groups. Mean operating time was significantly shorter for LAGB (50 min) compared with RAGB (74 min; P < 0.001). Conclusions: This comparative study between RAGB and LAGB in children and adolescents demonstrates the feasibility and safety of RAGB. However, the procedure requires significantly more operative time than LAGB and fails to provide improved patient outcome. © 2011 Springer Science+Business Media, LLC.
“Early experience in robotic-assisted laparoscopic bilateral intravesical ureteral reimplantation for vesicoureteral reflux in children.”
Chan, K. W. E., K. H. Lee, et al. (2011).
Journal of Robotic Surgery: 1-4.
A high success rate has been reported for laparoscopic intravesical ureteral reimplantation in the management of high-grade vesicoureteral reflux in children. With the introduction of the da Vinci robotic surgical system (Intuitive Surgical, Sunnyvale, CA, USA), robotic-assisted laparoscopic intravesical ureteral reimplantation may provide additional benefits, particularly in intravesical suturing. We present here our experience in three children, all with high-grade bilateral vesicoureteral reflux, who underwent robotic-assisted laparoscopic intravesical bilateral ureteral reimplantation. The procedure was successfully performed in all cases. There were no intra-operative or post-operative complications. Operative times were 430, 240 and 220 min. Hospital stay was 7, 6 and 2 days. Postoperative voiding cystourethrogram confirmed resolution of vesicoureteral refluxes in all cases and all three children were free from urinary tract infections on follow-up. Our initial experience with robotic-assisted laparoscopic intravesical ureteral reimplantation has shown this to be a technically safe and feasible option in the management of children with bilateral high-grade vesicoureteric reflux. © 2011 Springer-Verlag London Ltd.
“Robotics for the surgical treatment of pediatric patients: an overview.”
Sumpter, M. D. (2011).
JAAPA 24(6): 39-42.