Five millimetre-instruments in paediatric robotic surgery: Advantages and shortcomings

Gloria Pelizzo, Ghassan Nakib, Piero Romano, Luigi Avolio, Simonetta Mencherini, Elisa Zambaiti, Alessandro Raffaele, Timothée Stoll, Nicolò Mineo, Valeria Calcaterra

Research output: Contribution to journalArticle

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 languageEnglish
Pages (from-to)148-153
Number of pages6
JournalMinimally Invasive Therapy and Allied Technologies
Volume24
Issue number3
DOIs
Publication statusPublished - Jun 1 2015

Fingerprint

Robotics
Pediatrics
Operative Time
Kidney
Surgical Instruments
Length of Stay
Abdomen
Ligation
Dissection
Spine

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 journalArticle

Pelizzo, Gloria ; Nakib, Ghassan ; Romano, Piero ; Avolio, Luigi ; Mencherini, Simonetta ; Zambaiti, Elisa ; Raffaele, Alessandro ; Stoll, Timothée ; Mineo, Nicolò ; Calcaterra, Valeria. / Five millimetre-instruments in paediatric robotic surgery : Advantages and shortcomings. In: Minimally Invasive Therapy and Allied Technologies. 2015 ; Vol. 24, No. 3. pp. 148-153.
@article{5f84baf826b2451399bd63a554ead7fc,
title = "Five millimetre-instruments in paediatric robotic surgery: Advantages and shortcomings",
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",
keywords = "Instruments, Paediatric, Robotic-Assisted surgery",
author = "Gloria Pelizzo and Ghassan Nakib and Piero Romano and Luigi Avolio and Simonetta Mencherini and Elisa Zambaiti and Alessandro Raffaele and Timoth{\'e}e Stoll and Nicol{\`o} Mineo and Valeria Calcaterra",
year = "2015",
month = "6",
day = "1",
doi = "10.3109/13645706.2014.975135",
language = "English",
volume = "24",
pages = "148--153",
journal = "Minimally Invasive Therapy",
issn = "0961-625X",
publisher = "Informa Healthcare",
number = "3",

}

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 -