Robotic-assisted laparoscopic surgery for pediatric tumors: a bicenter experience

被引：25

作者：

Meignan P. ^{[1
]}

Ballouhey Q. ^{[2
]}

Lejeune J. ^{[3
]}

Braik K. ^{[1
]}

Longis B. ^{[2
]}

Cook A.R. ^{[1
]}

Lardy H. ^{[1
]}

Fourcade L. ^{[2
]}

Binet A. ^{[1
]}

机构：

[1] Service de chirurgie viscérale pédiatrique, Hôpital de Clocheville-CHU de TOURS, 49 boulevard Béranger, Tours Cedex

[2] Service de chirurgie viscérale pédiatrique, Hôpital des Enfants, 8 avenue Dominique Larrey, Limoges Cedex

[3] Service d’onco-hématologie pédiatrique, Hôpital de Clocheville, 49 boulevard Béranger, Tours Cedex

来源：

Journal of Robotic Surgery | 2018年 / 12卷 / 3期

关键词：

Cancer; Minimally invasive surgical procedures; Pediatric surgery; Robot;

D O I：

10.1007/s11701-017-0773-2

中图分类号：

学科分类号：

摘要：

Mini-invasive surgery is more and more integrated in pediatric surgery. The robotic-assisted surgery brought new advantages from which the patient and the surgeon could benefit compared to laparoscopy. Its use in oncological surgery is still controversial. 12 robotic-assisted tumor resections with the da Vinci Surgical Robot (Intuitive Surgical, Sunnyvale, CA) were attempted in 11 children (mean age 7.65 years; age range 0.75–16.75 years; mean weight 30.3 kg; weight range 8.6–62 kg) in two centers. Mean total operative time was 145 min (range 72–263 min). 1 procedure (8.3%) was converted. The pathology included renal tumors (n = 2; one nephroblastoma, one metanephric adenoma), adrenal tumors (n = 9; three neuroblastomas, two pheochromocytomas, two adrenocortical adenomas, one cystic lymphangioma, one paraganglioma) and a pancreatic tumor (n = 1; one pancreatic cyst). 4 tumors (33.3%) were malignant. Every patient underwent a R0 resection. 1 child (8.3%) developed a post operative complication. Mean length of hospitalization was 3.0 days (range 2–5 days). Followup averaged 3.3 years with no recurrence. All children are alive. Robot-assisted MIS seems to be safe and feasible in pediatric tumors. The oncological surgical principles were respected in our series with low morbi/mortality and good long-term results. Robotic surgery and its technical advantages bring potential benefits for children with cancer. It has a role to play in pediatric oncological surgery but its place and indications still need to be better defined. © 2017, Springer-Verlag London Ltd., part of Springer Nature.

引用

页码：501 / 508

页数：7

共 36 条

[1]

Jones V.S., Cohen R.C., Two decades of minimally invasive pediatric surgery-taking stock, J Pediatr Surg, 43, 9, pp. 1653-1659, (2008)

[2]

Muto S., Kitamura K., Ieda T., Shimizu F., Nagata M., Isotani S., Ide H., Yamaguchi R., Horie S., A preliminary oncologic outcome and postoperative complications in patients undergoing robot-assisted radical cystectomy: initial experience, Investig Clin Urol, 58, 3, pp. 171-178, (2017)

[3]

Cundy T.P., Marcus H.J., Hughes-Hallett A., Khurana S., Darzi A., Robotic surgery in children: adopt now, await, or dismiss?, Pediatr Surg Int, 31, 12, pp. 1119-1125, (2015)

[4]

Guys J.M., Delarue A., Gentet P., Videosurgery in oncological pediatrics, Pediatr Surg Int, 10, pp. 371-373, (1995)

[5]

Holcomb G.W., Tomita S.S., Haase G.M., Dillon P.W., Newman K.D., Applebaum H., Wiener E.S., Minimally invasive surgery in children with cancer, Cancer, 76, 1, pp. 121-128, (1995)

[6]

Iwanaka T., Arai M., Kawashima H., Kudou S., Fujishiro J., Imaizumi S., Yamamoto K., Hanada R., Kikuchi A., Aihara T., Kishimoto H., Endosurgical procedures for pediatric solid tumors, Pediatr Surg Int, 20, 1, pp. 39-42, (2004)

[7]

Saenz N.C., Conlon K.C., Aronson D.C., LaQuaglia M.P., The application of minimal access procedures in infants, children, and young adults with pediatric malignancies, J. Laparoendosc Adv Surg Tech A, 7, 5, pp. 289-294, (1997)

[8]

Kim T., Kim D.Y., Cho M.J., Kim S.C., Seo J.J., Kim I.K., Use of laparoscopic surgical resection for pediatric malignant solid tumors: a case series, Surg Endosc Other Interv Tech, 25, 5, pp. 1484-1488, (2011)

[9]

Malek M.M., Mollen K.P., Kane T.D., Shah S.R., Irwin C., Thoracic neuroblastoma: a retrospective review of our institutional experience with comparison of the thoracoscopic and open approaches to resection, J Pediatr Surg, 45, 8, pp. 1622-1626, (2010)

[10]

Metzelder M.L., Kuebler J.F., Shimotakahara A., Glueer S., Grigull L., Ure B.M., Role of diagnostic and ablative minimally invasive surgery for pediatric malignancies, Cancer, 109, 11, pp. 2343-2348, (2007)

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