title: What are the prospects for non-scheduled robotic procedures in pediatric surgery?
abstract: Robotic technology allows for the management of complex surgical cases with a minimally invasive approach. The aim of this study was to communicate our experience using robotic technology for non-scheduled pediatric procedures (NSP). We performed a prospective study over the last 5 years including all consecutive cases where surgery was performed with a robot. NSP procedures were defined as a time to surgery of <24 h. Preoperative time, operative time, overall completion rate, and postoperative course were analyzed. Of the 85 cases recorded, five corresponded to robot-assisted NSP with a mean weight of 10 kg (3-36 kg). The mean time before surgery was 19 h (11-24 h). Conversion rate to open procedure was 40 %. Fifteen NSP had to be performed without robotic plateform. Robotic surgery is a potentially relevant option for most pediatric thoracic or abdominal procedures performed in a non-scheduled setting and offers technical advantages.
authors.affiliation: Service de chirurgie viscérale pédiatrique, Hôpital des Enfants, 8 avenue Dominique Larrey, 87042, Limoges Cedex, France. q.ballouhey@gmail.com.
authors.forename: Quentin
authors.initials: Q
authors.lastname: Ballouhey
authors.affiliation: Service de chirurgie viscérale pédiatrique, Hôpital des Enfants, 8 avenue Dominique Larrey, 87042, Limoges Cedex, France.
authors.forename: Laurent
authors.initials: L
authors.lastname: Fouracde
authors.affiliation: Service de chirurgie viscérale pédiatrique, Hôpital des Enfants, 8 avenue Dominique Larrey, 87042, Limoges Cedex, France.
authors.forename: Bernard
authors.initials: B
authors.lastname: Longis
authors.affiliation: Service de chirurgie viscérale pédiatrique, Hôpital des Enfants, 8 avenue Dominique Larrey, 87042, Limoges Cedex, France.
authors.forename: Virginie
authors.initials: V
authors.lastname: Vacquerie
authors.affiliation: Service de chirurgie viscérale pédiatrique, Hôpital des Enfants, 8 avenue Dominique Larrey, 87042, Limoges Cedex, France.
authors.forename: Pauline
authors.initials: P
authors.lastname: Clermidi
authors.affiliation: Service de chirurgie viscérale pédiatrique, Hôpital des Enfants, 8 avenue Dominique Larrey, 87042, Limoges Cedex, France.
authors.forename: Véronique
authors.initials: V
authors.lastname: Carcauzon Couvrat
authors.affiliation: Service d'anesthésie pédiatrique, Hôpital des Enfants, 8 avenue Dominique Larrey, 87042, Limoges Cedex, France.
authors.forename: Jérôme
authors.initials: J
authors.lastname: Cros
authors.affiliation: Service d'anesthésie pédiatrique, Hôpital des Enfants, 8 avenue Dominique Larrey, 87042, Limoges Cedex, France.
authors.forename: Daniel
authors.initials: D
authors.lastname: Berenguer
mesh_terms: D000005:Abdomen / Q000601:surgery; D001071:Appointments and Schedules; D002648:Child; D061887:Conversion to Open Surgery / Q000706:statistics & numerical data; D004638:Emergency Treatment / Q000706:statistics & numerical data; D006801:Humans; D061646:Operative Time; D010372:Pediatrics / Q000706:statistics & numerical data; D011446:Prospective Studies; D065287:Robotic Surgical Procedures / Q000706:statistics & numerical data*; D019616:Thoracic Surgical Procedures / Q000706:statistics & numerical data; D061665:Time-to-Treatment
keywords: Children; Non-scheduled procedures; Pediatrics; Robotic surgery