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 -