Abstract
Purpose: The study was designed to assess the utility and controversies surrounding the usage of 5-mm instruments in paediatric robotic surgery. Adequate, delicate instruments for surgery in very narrow spaces are still lacking. Material and methods: Thirty children underwent elective abdominal robotic surgery. Working sites, assembly and operative time, hospital stay, advantages, complications and shortcomings are reported. Results: Interventions were performed in the following anatomical sites: 11 upper abdominal, nine pelvic, ten renal procedures. The majority of procedures required two operative trocars. A 2-3 mm accessory port was necessary for operations in the renal area and upper abdomen. The ports had to be placed at least 3 cm from the costal margins and superior iliac spines and at an angle of at least 130° with respect to the camera trocar. This configuration allowed intra-corporal knotting, vessel ligation and dissection with instruments in the inverted position. Operative times and hospital stays were similar to those reported for 8 mm-instruments. Conclusion: The use of 5-mm instruments was advantageous in renal and pelvic sites. The benefits in upper abdominal surgery need further evaluation, particularly in patients weighing
| Original language | English |
|---|---|
| Pages (from-to) | 148-153 |
| Number of pages | 6 |
| Journal | Minimally Invasive Therapy and Allied Technologies |
| Volume | 24 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - Jun 1 2015 |
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Keywords
- Instruments
- Paediatric
- Robotic-Assisted surgery
ASJC Scopus subject areas
- Surgery
Cite this
Five millimetre-instruments in paediatric robotic surgery : Advantages and shortcomings. / Pelizzo, Gloria; Nakib, Ghassan; Romano, Piero; Avolio, Luigi; Mencherini, Simonetta; Zambaiti, Elisa; Raffaele, Alessandro; Stoll, Timothée; Mineo, Nicolò; Calcaterra, Valeria.
In: Minimally Invasive Therapy and Allied Technologies, Vol. 24, No. 3, 01.06.2015, p. 148-153.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Five millimetre-instruments in paediatric robotic surgery
T2 - Advantages and shortcomings
AU - Pelizzo, Gloria
AU - Nakib, Ghassan
AU - Romano, Piero
AU - Avolio, Luigi
AU - Mencherini, Simonetta
AU - Zambaiti, Elisa
AU - Raffaele, Alessandro
AU - Stoll, Timothée
AU - Mineo, Nicolò
AU - Calcaterra, Valeria
PY - 2015/6/1
Y1 - 2015/6/1
N2 - Purpose: The study was designed to assess the utility and controversies surrounding the usage of 5-mm instruments in paediatric robotic surgery. Adequate, delicate instruments for surgery in very narrow spaces are still lacking. Material and methods: Thirty children underwent elective abdominal robotic surgery. Working sites, assembly and operative time, hospital stay, advantages, complications and shortcomings are reported. Results: Interventions were performed in the following anatomical sites: 11 upper abdominal, nine pelvic, ten renal procedures. The majority of procedures required two operative trocars. A 2-3 mm accessory port was necessary for operations in the renal area and upper abdomen. The ports had to be placed at least 3 cm from the costal margins and superior iliac spines and at an angle of at least 130° with respect to the camera trocar. This configuration allowed intra-corporal knotting, vessel ligation and dissection with instruments in the inverted position. Operative times and hospital stays were similar to those reported for 8 mm-instruments. Conclusion: The use of 5-mm instruments was advantageous in renal and pelvic sites. The benefits in upper abdominal surgery need further evaluation, particularly in patients weighing
AB - Purpose: The study was designed to assess the utility and controversies surrounding the usage of 5-mm instruments in paediatric robotic surgery. Adequate, delicate instruments for surgery in very narrow spaces are still lacking. Material and methods: Thirty children underwent elective abdominal robotic surgery. Working sites, assembly and operative time, hospital stay, advantages, complications and shortcomings are reported. Results: Interventions were performed in the following anatomical sites: 11 upper abdominal, nine pelvic, ten renal procedures. The majority of procedures required two operative trocars. A 2-3 mm accessory port was necessary for operations in the renal area and upper abdomen. The ports had to be placed at least 3 cm from the costal margins and superior iliac spines and at an angle of at least 130° with respect to the camera trocar. This configuration allowed intra-corporal knotting, vessel ligation and dissection with instruments in the inverted position. Operative times and hospital stays were similar to those reported for 8 mm-instruments. Conclusion: The use of 5-mm instruments was advantageous in renal and pelvic sites. The benefits in upper abdominal surgery need further evaluation, particularly in patients weighing
KW - Instruments
KW - Paediatric
KW - Robotic-Assisted surgery
UR - http://www.scopus.com/inward/record.url?scp=84929918790&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84929918790&partnerID=8YFLogxK
U2 - 10.3109/13645706.2014.975135
DO - 10.3109/13645706.2014.975135
M3 - Article
C2 - 25363461
AN - SCOPUS:84929918790
VL - 24
SP - 148
EP - 153
JO - Minimally Invasive Therapy
JF - Minimally Invasive Therapy
SN - 0961-625X
IS - 3
ER -