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A Journal on Pediatrics, Neonatology, Adolescent Medicine,
Child and Adolescent Psychiatry

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Minerva Pediatrica 2018 Feb 23

DOI: 10.23736/S0026-4946.18.05113-7


language: English

Current perspectives in robotic assisted surgery

Aurélien BINET 1, Quentin BALLOUHEY 2, Yann CHAUSSY 3, Guénolée de LAMBERT 1, Karim BRAÏK 1, Thierry VILLEMAGNE 1, François BECMEUR 4, Laurent FOURCADE 2, Hubert LARDY 1

1 Service de Chirurgie Viscérale Pédiatrique, Hôpital de Clocheville, Tours Cedex, France; 2 Service de Chirurgie Viscérale Pédiatrique, Hôpital des Enfants, Limoges Cedex, France; 3 Service de Chirurgie Viscérale Pédiatrique, Hôpital Jean Minjoz, Besançon, France; 4 Service de Chirurgie Viscérale Pédiatrique, Hôpital de Hautepierre, Strasbourg, France


From classical surgery to Robotic Assisted Surgery, there is a long way allowed by Minimal Invasive Surgery’ improvements. The last three decades have witnessed a prodigious development of minimally invasive surgery (MIS) and especially in the field of laparoscopic pediatric surgery but there are several limitations in the use of conventional laparoscopic surgery and Robotic Assisted Surgery was developed to relieve these drawbacks. This new technology enables today the performance of a wide variety of procedures in children with a minimally invasive approach. As for all new technologies, an objective evaluation is essential with the need to respond to several questions: Is the technology feasible? Is the technology safe? Is the technology efficient? Does it bring about benefits compared with current technology? What are the procedures derived from most benefits of robotic assistance? How to assume the transition from open surgery to Minimal Invasive access for RAS? In the first part of this article, the authors give details about technical concerns and then describe the implementation process with its organization, pitfalls, successes, and issues from human resources and financial standpoints. The learning curve is then described and a special focus on small children weighing less than 15 Kg is developed. Finally, the concept of evaluation of this emerging technology is evocated and financial concerns are developed.

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Publication History

Article first published online: February 23, 2018
Manuscript accepted: February 20, 2018
Manuscript received: October 9, 2017

Cite this article as

Binet A, Ballouhey Q, Chaussy Y, Lambert GD, Braïk K, Villemagne T et al. Current perspectives in robotic assisted surgery. Minerva Pediatr 2018 Feb 23. DOI: 10.23736/S0026-4946.18.05113-7

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