Our Summary

This research paper provides an overview of how robotic surgery is currently being used in children’s healthcare. Robotic surgery is a type of minimally invasive surgery where doctors use a computer to control very small instruments attached to a robot. It allows for greater precision, flexibility and control than is possible with traditional surgical methods. The paper discusses the potential benefits of this technology for paediatric patients, as well as any challenges or issues related to its use.

FAQs

  1. What is the current state of robotic surgery use in paediatrics?
  2. What are the potential benefits of using robotic surgery in paediatric care?
  3. What are the challenges or limitations of implementing robotic surgery in paediatrics?

Doctor’s Tip

One helpful tip a doctor might give a patient about robotic surgery is to ensure they follow all pre-operative instructions carefully, such as fasting before the procedure and taking any prescribed medications as directed. Additionally, it is important for the patient to discuss any concerns or questions they may have with their healthcare team prior to the surgery to ensure they have a full understanding of the procedure and what to expect during and after the surgery.

Suitable For

Robotic surgery is commonly recommended for patients who require minimally invasive procedures with high precision and dexterity, particularly in cases where traditional laparoscopic surgery may be challenging or complex. In paediatrics, robotic surgery is often used for a variety of conditions, such as congenital heart defects, urological abnormalities, gastrointestinal issues, and certain types of cancers.

Patients who may benefit from robotic surgery in paediatrics include those with complex anatomical considerations, smaller body sizes, and the need for delicate tissue manipulation. Robotic surgery can provide improved visualization, reduced trauma to surrounding tissues, and enhanced surgical outcomes compared to traditional open surgery or laparoscopic techniques.

Overall, robotic surgery is a valuable tool in the paediatric surgical armamentarium, offering numerous benefits for patients and surgeons alike. As technology continues to advance and experience with robotic surgery grows, its use in paediatrics is likely to expand further, providing new opportunities for improved patient care and outcomes.

Timeline

Before Robotic Surgery:

  1. Consultation: The patient meets with their surgeon to discuss their condition and potential treatment options, including robotic surgery.
  2. Pre-operative testing: The patient undergoes various tests, such as blood work and imaging studies, to ensure they are a suitable candidate for robotic surgery.
  3. Pre-surgery preparation: The patient follows pre-surgery instructions, such as fasting and medication adjustments, to prepare for the procedure.

During Robotic Surgery:

  1. Anesthesia: The patient is put under general anesthesia to ensure they are comfortable and pain-free during the procedure.
  2. Robotic surgery: The surgeon uses the robotic system to perform the surgery with enhanced precision and control.
  3. Monitoring: Medical staff closely monitor the patient’s vital signs and overall condition throughout the surgery.

After Robotic Surgery:

  1. Recovery: The patient is taken to a recovery room where they are monitored as they wake up from anesthesia.
  2. Post-operative care: The patient receives post-operative care, including pain management and monitoring for any complications.
  3. Discharge: Once the patient is stable, they are discharged from the hospital with instructions for post-operative care and follow-up appointments.

Overall, robotic surgery offers patients a minimally invasive and highly precise surgical option that can lead to faster recovery times and reduced risk of complications.

What to Ask Your Doctor

  1. What specific experience and training do you have with robotic surgery in paediatrics?
  2. How does robotic surgery differ from traditional surgery for my child’s condition?
  3. What are the potential benefits of robotic surgery for my child compared to traditional surgery?
  4. What are the potential risks or complications associated with robotic surgery for my child?
  5. How long is the recovery time typically for patients undergoing robotic surgery?
  6. Will my child need any additional follow-up care or monitoring after robotic surgery?
  7. Are there any specific criteria or factors that make my child a good candidate for robotic surgery?
  8. How will the cost of robotic surgery for my child be covered by insurance or other means?
  9. Are there any alternative treatment options to consider besides robotic surgery for my child’s condition?
  10. What is the success rate of robotic surgery for paediatric patients in general and for my child’s specific condition?

Reference

Authors: Cave J, Clarke S. Journal: Ann R Coll Surg Engl. 2018 Sep;100(Suppl 7):18-21. doi: 10.1308/rcsann.supp2.18. PMID: 30179047