Pediatric Surgery Department. Hospital Clínico Universitario San Carlos. Madrid (Spain).
Pediatric Surgery Department. Hospital Clínico Universitario San Carlos. Madrid (Spain)..
Cir Pediatr. 2024 Apr 1;37(2):93-98. doi: 10.54847/cp.2024.02.20.
We present the first case of pediatric ileocystoplasty using a purely robotic approach in Spain.
12-year-old male with neurogenic bladder of low capacity and high pressures. After failure of conservative treatment, bladder augmentation with ileum patch was decided upon. Surgery was carried out using a purely robotic approach with 4 robotic and 2 accessory ports. Surgery duration was 380 minutes in total, without intraoperative complications. He was discharged 2 weeks after cystographic control. During 32-months follow-up, he has remained continent.
The minimal invasion, surgical precision and ergonomics made the robotic approach an optimal option for complex surgical techniques. Given the little availability of the robot and the low pediatric volume, its standardization is a challenge. Our accumulated experience is consistent with the current literature and shows promising surgical and esthetic results. We hope this case report will contribute to the divulgation and progressive introduction of robotic surgery in our daily lives.
我们报告了首例在西班牙使用纯机器人方法进行小儿回肠膀胱成形术的病例。
一名 12 岁男性，患有低容量和高压力的神经性膀胱。在保守治疗失败后，决定进行回肠补片膀胱扩大术。手术采用纯机器人方法进行，使用 4 个机器人和 2 个辅助端口。手术总时长为 380 分钟，无术中并发症。在膀胱造影控制后 2 周出院。在 32 个月的随访中，他保持了尿控。
机器人手术的微创性、手术精度和人体工程学使其成为复杂手术技术的理想选择。鉴于机器人的可用性有限且儿科病例量低，其标准化是一个挑战。我们的积累经验与当前文献一致，并显示出有前景的手术和美容效果。我们希望本病例报告将有助于机器人手术在我们日常生活中的传播和逐步引入。
