The Robotic Surgery, Research and Training Centre, Department of Urology, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, USA.
Nat Rev Urol. 2013 Nov;10(11):632-9. doi: 10.1038/nrurol.2013.220. Epub 2013 Oct 8.
Robot-assisted laparoscopic surgery (RALS) has been proven to be safe and effective for various urological procedures in children, including pyeloplasty, orchiopexy, nephrectomy, and bladder augmentation. The robot system enables delicate and precise movements, which are ideal for the types of reconstructive surgeries that children with urological issues often require, overcoming many of the impediments associated with the conventional laparoscopic approach. RALS helps the relative novice to perform fine surgical techniques and is thought to reduce the learning curve associated with some surgical techniques, such as intracorporeal suturing, owing to the improved freedom of movement of the surgical instruments, the ergonomic positioning of the surgeon, and the 3D vision provided by the robotic system. Given the favourable safety profile and associated benefits of the robot system, including reductions in mean postoperative hospital stay compared with conventional procedures, RALS is becoming more widely adopted by paediatric urologists.
机器人辅助腹腔镜手术 (RALS) 已被证明在儿童的各种泌尿科手术中是安全有效的，包括肾盂成形术、睾丸固定术、肾切除术和膀胱扩大术。机器人系统能够实现精细和精确的运动，非常适合儿童泌尿科问题所需的重建手术类型，克服了传统腹腔镜方法相关的许多障碍。RALS 帮助相对缺乏经验的医生进行精细的手术技术，并且被认为可以减少某些手术技术（如腔内缝合）的学习曲线，这要归功于手术器械运动自由度的提高、医生的人体工程学定位以及机器人系统提供的 3D 视觉。鉴于机器人系统的有利安全性概况和相关益处，包括与传统手术相比，术后平均住院时间的减少，机器人辅助腹腔镜手术越来越被儿科泌尿科医生所采用。
