The Hamlyn Centre, Institute of Global Health Innovation, Imperial College London, United Kingdom.
J Pediatr Surg. 2013 Apr;48(4):858-65. doi: 10.1016/j.jpedsurg.2013.01.031.
Robotic surgery offers technological solutions to current challenges of minimal access surgery, particularly for delicate and dexterous procedures within spatially constrained operative workspaces in children. The first robotic surgical procedure in a child was reported in April 2001. This review aims to examine the literature for global case volumes, trends, and quality of evidence for the first decade of robotic surgery in children.
A systematic literature search was performed for all reported cases of robotic surgery in children during the period of April 2001 to March 2012.
Following identification of 220 relevant articles, 137 articles were included, reporting 2393 procedures in 1840 patients. The most prevalent gastrointestinal, genitourinary, and thoracic procedures were fundoplication, pyeloplasty, and lobectomy, respectively. There was a progressive trend of increasing number of publications and case volumes over time. The net overall reported conversion rate was 2.5%. The rate of reported robot malfunctions or failures was 0.5%.
Robotic surgery is an expanding and diffusing innovation in pediatric surgery. Future evolution and evaluation should occur simultaneously, such that wider clinical uptake may be led by higher quality and level of evidence literature.
机器人手术为微创外科当前面临的挑战提供了技术解决方案，尤其适用于儿童手术中空间受限的操作空间内精细而灵巧的手术。首例儿童机器人手术于 2001 年 4 月进行。本综述旨在检查儿童机器人手术开展的第一个十年间全球的病例数量、趋势以及证据质量。
对 2001 年 4 月至 2012 年 3 月期间所有报道的儿童机器人手术病例进行了系统的文献检索。
在确定了 220 篇相关文章后，共纳入了 137 篇文章，报道了 1840 例患者的 2393 例手术。最常见的胃肠道、泌尿生殖系统和胸科手术分别为胃底折叠术、肾盂成形术和肺叶切除术。随着时间的推移，出版物和病例数量呈逐渐增加的趋势。总的报告中转开腹率为 2.5%。报告的机器人故障或失效发生率为 0.5%。
机器人手术是小儿外科领域一项不断发展和普及的创新技术。未来应同时进行技术演变和评估，以便更高质量和更高水平的证据文献引领更广泛的临床应用。
