Ganpule Arvind P, Sripathi Venkat
Department of Urology, Muljbhai Patel Urological Hospital, Nadiad, Gujarat, India.
Department of Pediatric Surgery/Urology, Apollo Children's Hospital, Thousand Lights, Chennai, Tamil Nadu, India.
J Minim Access Surg. 2015 Jan-Mar;11(1):45-9. doi: 10.4103/0972-9941.147689.
The well-known advantages of robotic surgery include improved dexterity, three-dimensional operating view and an improved degree of freedom. Robotic surgery is performed for a wide range of surgeries in urology, which include radical prostatectomy, radical cystectomy, and ureteric reimplantation. Robotic paediatric urology is evolving. The major hindrance in the development of paediatric robotics is, first, the differences in practice patterns in paediatric urology compared with adult urology thereby making development of expertise difficult and secondly it is challenging to conduct proper studies in the paediatric population because of the paucity of cases. The difficulties in conducting these studies include difficulty in designing a proper randomised study, difficulties with blinding, and finally, the ethical issues involved, finally the instruments although in the phase of evolution require a lot of improvement. In this article, we review the relevant articles for paediatric robotic surgery. We emphasise on the technical aspects and results in contemporary paediatric robotic case series.
机器人手术的诸多优势广为人知，包括操作灵活性提高、三维手术视野以及自由度提升。机器人手术在泌尿外科的多种手术中得到应用，其中包括根治性前列腺切除术、根治性膀胱切除术以及输尿管再植术。小儿泌尿外科机器人手术正在不断发展。小儿机器人手术发展的主要障碍，其一在于小儿泌尿外科与成人泌尿外科在实践模式上存在差异，这使得专业技能的培养变得困难；其二，由于病例数量稀少，在小儿群体中开展恰当的研究具有挑战性。开展这些研究的困难包括难以设计出合适的随机研究、难以实施盲法，以及最终涉及的伦理问题。最后，尽管手术器械正处于不断改进阶段，但仍需要大量改进。在本文中，我们回顾了小儿机器人手术的相关文献。我们着重介绍当代小儿机器人手术病例系列的技术方面和结果。
