Division of Pediatric Urology, The Hospital for Sick Children, Toronto, ON, Canada.
World J Urol. 2020 Aug;38(8):1875-1882. doi: 10.1007/s00345-019-02822-7. Epub 2019 Jun 17.
Laparoscopic procedures in pediatric urology have been shown to be safe and effective over the last number of years. Coupled with this is the technological trend to provide minimally invasive options for even the most complex pediatric patients. Whilst robotic platforms continue to try to demonstrate superior patient outcomes in adults with mixed results, the utilization of robotic platforms for pediatric urology is increasing.
A review of the current literature was undertaken to assess the evidence for training models and cost-effectiveness of robotic-assisted pediatric urology.
A growing body of evidence in this field has demonstrated that robotic platforms are safe and effective in children and can provide additional reconstructive benefits due to motion scaling, magnification, stereoscopic views, instrument dexterity and tremor reduction. The main drawbacks remain the financial implications associated with this platform through purchase, maintenance, and disposable costs. This review addresses some of the addresses issues pertaining to cost, training and simulation for robotic-assisted surgery in pediatric urology.
近年来，腹腔镜手术在小儿泌尿外科中已被证明是安全且有效的。此外，为了即使是最复杂的儿科患者也能提供微创选择，技术趋势也在不断发展。虽然机器人平台在成人患者中的应用效果不断尝试证明其具有优越性，但结果却喜忧参半，而机器人平台在小儿泌尿外科中的应用正在不断增加。
我们对现有文献进行了回顾，以评估机器人辅助小儿泌尿外科的培训模型和成本效益的证据。
该领域越来越多的证据表明，机器人平台在儿童中是安全且有效的，并且由于运动缩放、放大、立体视图、器械灵巧性和震颤减少，可以提供额外的重建益处。主要缺点仍然是与该平台相关的购买、维护和一次性成本的财务影响。本综述讨论了一些与小儿泌尿外科机器人辅助手术的成本、培训和模拟相关的问题。
