Document Detail


Applications of robotic surgery in pediatric patients.
MedLine Citation:
PMID:  12008767     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Minimally invasive surgery is increasingly becoming the standard approach to treatment for pediatric patients. Infants present a technical challenge due to the small size of structures and the small workspace available. Master-slave robotic surgical telemanipulators help overcome this challenge by facilitating microsurgery in a confined workspace. The Zeus Robotic Surgical System (Computer Motion, Inc., Goleta, CA, U.S.A.) was used to develop the robotic approach and to evaluate the technical feasibility of performing four technically challenging procedures that are typically performed in infants. Robotic enteroenterostomy, hepaticojejunostomy, portoenterostomy, and esophagoesophagostomy were performed in piglets and compared with the same procedures performed by standard minimally invasive techniques. Enteroenterostomy, hepaticojejunostomy, and esophagoesophagostomy procedures were successfully developed and are technically feasible. The portoenterostomy procedure needs further study to validate data from the second set of experiments, showing a lower complication rate in the robotic group. Survivor studies are needed to fully elucidate the advantages that may be provided by the robotic approach.
Authors:
Celeste M Hollands; Laramie N Dixey
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Surgical laparoscopy, endoscopy & percutaneous techniques     Volume:  12     ISSN:  1530-4515     ISO Abbreviation:  Surg Laparosc Endosc Percutan Tech     Publication Date:  2002 Feb 
Date Detail:
Created Date:  2002-05-14     Completed Date:  2002-09-17     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  100888751     Medline TA:  Surg Laparosc Endosc Percutan Tech     Country:  United States    
Other Details:
Languages:  eng     Pagination:  71-6     Citation Subset:  IM    
Affiliation:
Department of Surgery, Louisiana State University Health Sciences Center, Shreveport 71130, USA. cholla1@lsuhsc.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Animals
Child
Child, Preschool
Humans
Infant
Laparoscopy / methods*
Robotics / instrumentation,  methods*
Surgical Procedures, Minimally Invasive / methods*
Swine
Thoracoscopy / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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