Johana Sosa Jurado, MD - Best of the Best in Pediatric Surgery 2024

The typical robotic surgery patient profile was female, 7 years old, 37 kg, with a median hospitalization of 2 days.

Statistically significant variables in the study were days of hospitalization, age, total surgery time, docking time, and closure time.

Complications were recorded in 14 cases out of 105 total procedures.

There were 2 conversions to open surgery and 2 deaths in the series.

The series included 76 general surgery procedures and 29 urological procedures.

Surgeon one performed 44.8% of procedures and surgeon two performed 55.2% of procedures.

Total surgery time and console time showed positive asymmetry (right-skewed distribution) for both surgeons.

The most common procedure was cholecystectomy, followed by pyeloplasty.

The average hospitalization stay was 2 days without complications.

The average total surgical time was 80 minutes, docking time was 12 minutes, and console time was 42 minutes.

There is an important difference in learning curves between complex and basic robotic procedures, with colorectal surgeries requiring more time than cholecystectomy and pyeloplasty.

The robotic surgery program at the institution ran from 2021 to 2023.

Pyeloplasty is considered a complicated surgery requiring very detailed, slow movements and careful identification of structures.

One surgeon in the program preferred urological procedures including pyeloplasty, while the other surgeon focused more on colorectal procedures.

The difference in surgeon subspecialty focus (urological vs. colorectal) contributed to differences observed in the study.