Update Course Rewind 2025: Robotics in Pediatric Surgery: Which indications benefit the most?
With Dr. Juan Gurria · hosted by Dr. Jill Knerath
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What the experts said
Robotic surgery provides 7 degrees of freedom for mobility compared to the human hand's 6 degrees.
The learning curve for robotic surgery is better than laparoscopic surgery.
Time to reduce operative times is way faster for robotic surgery than laparoscopic after a few cases.
There is no FDA approval for robotic surgery in pediatrics, but it should be coming soon.
After a few cases, robotic surgery decreases operative time, which reduces costs in the long run.
New robotic systems allow surgeons to detect when suture is about to rupture.
Surgeons get tactile feedback from visual cues in robotic surgery, and it takes only a few cases to adapt.
With trained personnel, room turnover time for robotic surgery equals that of laparoscopic surgery.
Basic proficiency in laparoscopy requires 20 to 30 cases.
Basic proficiency in robotic surgery requires 10 to 15 cases.
Robotic surgery does not impair outcomes in oncologic surgeries.
Future pediatric surgeons entering the field will be doing robotic surgery rather than laparoscopy.
All pediatric surgical patients are good candidates for robotic surgery.
Robotic surgery reduces postoperative pain and infection risk, leading to faster recovery.
Robotic surgery improves depth perception compared to laparoscopic surgery.
Robotic surgery reduces surgeon fatigue compared to laparoscopic surgery.
In colorectal surgery, robotic operative time is longer than laparoscopic.
Laparoscopy has a higher conversion rate to open surgery than robotic surgery in colorectal cases.
Both robotic and laparoscopic surgery have comparable oncologic results.
It takes half the number of cases to become proficient in robotic surgery versus laparoscopy.
Robotics can be indicated for surgeries in the chest, pelvic reconstruction, abdominal tumors, and urology.
In smaller patients, ports should be measured 3 centimeters apart.
Robotic surgery in pediatric patients is ideal in select cases including adrenal masses, polyoco cysts, and nephrectomies.
Reported cons of robotic surgery include cost, setup time, the size of the ports, and a steep learning curve.
Once proficiency is achieved, operative times and conversions to open surgery are lower for robotic surgery compared to laparoscopy.