How robotic-assisted surgery can decrease the risk of mucosal tear during Heller myotomy procedure?
We report the first description of robotic-assisted Heller myotomy in children. The purpose of this study was to improve the safety of Heller myotomy by demonstrating, in two adolescent patients, the contribution of the robot to the different steps of this procedure. Due to the robot's freedom of movement and three-dimensional vision, there was an improvement in the accuracy, a gain in the safety regarding different key-points, decreasing the risk of mucosal perforation associated with this procedure.
Service de chirurgie viscérale pédiatrique, Hôpital des Enfants, 8 avenue Dominique Larrey, 87042, Limoges Cedex, France. q.ballouhey@gmail.com.
Quentin
Q
Ballouhey
Service de chirurgie viscérale pédiatrique, Hôpital des Enfants, 8 avenue Dominique Larrey, 87042, Limoges Cedex, France.
Nabil
N
Dib
Service de chirurgie viscérale pédiatrique, Hôpital de Clocheville, 49 boulevard Béranger, 37044, Tours Cedex, France.
Aurélien
A
Binet
Service de chirurgie viscérale pédiatrique, Hôpital des Enfants, 8 avenue Dominique Larrey, 87042, Limoges Cedex, France.
Véronique
V
Carcauzon-Couvrat
Service de chirurgie viscérale pédiatrique, Hôpital des Enfants, 8 avenue Dominique Larrey, 87042, Limoges Cedex, France.
Pauline
P
Clermidi
Service de chirurgie viscérale pédiatrique, Hôpital des Enfants, 8 avenue Dominique Larrey, 87042, Limoges Cedex, France.
Bernard
B
Longis
Service de chirurgie viscérale pédiatrique, Hôpital de Clocheville, 49 boulevard Béranger, 37044, Tours Cedex, France.
Hubert
H
Lardy
Service de pédiatrie, Hôpital des Enfants, 8 avenue Dominique Larrey, 87042, Limoges Cedex, France.
Jane
J
Languepin
Service d'anesthésie pédiatrique, Hôpital des Enfants, 8 avenue Dominique Larrey, 87042, Limoges Cedex, France.
Jérôme
J
Cros
Service de chirurgie viscérale pédiatrique, Hôpital des Enfants, 8 avenue Dominique Larrey, 87042, Limoges Cedex, France.
Laurent
L
Fourcade
D000293:Adolescent; D002648:Child; D004931:Esophageal Achalasia / Q000601:surgery; D004935:Esophageal Diseases / Q000601:surgery; D005260:Female; D000074434:Heller Myotomy / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D008297:Male; D012307:Risk Factors; D065287:Robotic Surgical Procedures / Q000009:adverse effects / Q000379:methods*
Esophageal achalasia; Heller myotomy; Pediatrics; Robotic surgery