Pediatric Thoracic Robotic Surgery

The da Vinci surgical robot excels in many procedures inside the chest when compared to more traditional thoracoscopic procedures. The robotic articulations are particularly useful for navigating around difficult rigid anatomy such as mediastinal masses thereby. Areas that are difficult to reach with nonarticulating thoracoscopic instruments such as the foramen of Bochdalek are also more easily approached with the articulating arms of the robot. We anticipate that robotic surgery will eventually prove to be superior to the thoracoscopic approach but the current instrument selections and diameter are limiting our progress. However, we believe that robotic surgery will eventually prevail as technology improves.

[1]  Jay M. Wilson,et al.  Congenital diaphragmatic hernia associated with esophageal atresia: incidence, outcomes, and determinants of mortality. , 2013, Journal of the American College of Surgeons.

[2]  S. Eaton,et al.  Trends in the treatment and outcome of congenital diaphragmatic hernia over the last decade , 2012, Pediatric Surgery International.

[3]  R. Azizkhan,et al.  Sirolimus for the treatment of complicated vascular anomalies in children , 2011, Pediatric blood & cancer.

[4]  D. Teitelbaum,et al.  Early experience with minimally invasive repair of congenital diaphragmatic hernias: results and lessons learned. , 2003, Journal of pediatric surgery.

[5]  J. Peltonen,et al.  Natural History of Spinal Anomalies and Scoliosis Associated With Esophageal Atresia , 2009, Pediatrics.

[6]  Joseph E. Hartwich,et al.  Robot-assisted thoracoscopic thymectomy for treating myasthenia gravis in children. , 2012, Journal of laparoendoscopic & advanced surgical techniques. Part A.

[7]  G. Blumenstock,et al.  Perioperative outcome of patients with esophageal atresia and tracheo-esophageal fistula undergoing open versus thoracoscopic surgery. , 2011, Journal of laparoendoscopic & advanced surgical techniques. Part A.

[8]  D. Billmire,et al.  Teratomas in childhood: analysis of 142 cases. , 1986, Journal of pediatric surgery.

[9]  B. Slater,et al.  Robotic repair of congenital diaphragmatic anomalies. , 2009, Journal of laparoendoscopic & advanced surgical techniques. Part A.

[10]  T. Tajiri,et al.  Impact of our new protocol on the outcome of the neonates with congenital diaphragmatic hernia , 2013, Pediatric Surgery International.

[11]  E. Jesudason,et al.  Neonatal Endosurgical Congenital Diaphragmatic Hernia Repair: A Systematic Review and Meta-Analysis , 2010, Annals of surgery.

[12]  T. Lobe,et al.  Thoracoscopic Repair of Esophageal Atresia in an Infant: A Surgical First , 1999 .