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Pediatric robotics

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https://www.readbyqxmd.com/read/28530625/-robot-assisted-and-laparoscopic-pyeloplasty
#1
Juan Ignacio Pascual-Piédrola, Imanol Merino-Narro, Mateo Hevia-Suárez, Francisco Javier Ancizu-Marckert, Ángel García-Cortés, Pablo Domenech-López
OBJECTIVES: Uretero-pelvic junction (UPJ) obstruction has been classically treated by open dismembered pyeloplasty. Recently, laparoscopic (LP) and robotic pyeloplasty (RP) have become the techniques of choice for the treatment of UPJ stenosis in adult and pediatric population. Our objective in this paper is to review the results of minimally invasive surgery as the treatment of UPJ obstruction, the trend to use these approaches and the current limits of LP and RP. METHODS: A review of most relevant papers and meta-analysis about LP and RP in pediatric and adult population was performed using PubMed...
May 2017: Archivos Españoles de Urología
https://www.readbyqxmd.com/read/28528821/robotic-versus-open-pediatric-ureteral-reimplantation
#2
EDITORIAL
Christopher E Bayne, Diana Cardona-Grau, Michael H Hsieh
No abstract text is available yet for this article.
April 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28506597/a-practice-pattern-assessment-of-members-of-the-society-of-pediatric-urology-for-evaluation-and-treatment-of-urinary-tract-dilation
#3
Jessica N Jackson, Rebecca S Zee, Allison N Martin, Sean T Corbett, C D Anthony Herndon
INTRODUCTION: Over the last decade the literature, including a multidisciplinary consensus statement, has supported a paradigm shift in management of urinary tract dilation, yet the impact on practice patterns has not been well documented. OBJECTIVE: This study aims to elucidate specific practice patterns for treatment of prenatal unilateral urinary tract dilation and to assess surgical intervention patterns for ureteropelvic junction obstruction. STUDY DESIGN: An online survey was distributed to 234 pediatric urologists through the Society of Pediatric Urology...
April 26, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28505989/pediatric-robotic-rehabilitation-current-knowledge-and-future-trends-in-treating-children-with-sensorimotor-impairments
#4
Konstantinos P Michmizos, Hermano Igo Krebs
BACKGROUND: Robot-aided sensorimotor therapy imposes highly repetitive tasks that can translate to substantial improvement when patients remain cognitively engaged into the clinical procedure, a goal that most children find hard to pursue. Knowing that the child's brain is much more plastic than an adult's, it is reasonable to expect that the clinical gains observed in the adult population during the last two decades would be followed up by even greater gains in children. Nonetheless, and despite the multitude of adult studies, in children we are just getting started: There is scarcity of pediatric robotic rehabilitation devices that are currently available and the number of clinical studies that employ them is also very limited...
May 11, 2017: NeuroRehabilitation
https://www.readbyqxmd.com/read/28463617/robot-assisted-procedures-in-pediatric-neurosurgery
#5
Alessandro De Benedictis, Andrea Trezza, Andrea Carai, Elisabetta Genovese, Emidio Procaccini, Raffaella Messina, Franco Randi, Silvia Cossu, Giacomo Esposito, Paolo Palma, Paolina Amante, Michele Rizzi, Carlo Efisio Marras
OBJECTIVE During the last 3 decades, robotic technology has rapidly spread across several surgical fields due to the continuous evolution of its versatility, stability, dexterity, and haptic properties. Neurosurgery pioneered the development of robotics, with the aim of improving the quality of several procedures requiring a high degree of accuracy and safety. Moreover, robot-guided approaches are of special interest in pediatric patients, who often have altered anatomy and challenging relationships between the diseased and eloquent structures...
May 2017: Neurosurgical Focus
https://www.readbyqxmd.com/read/28431995/robot-assisted-laparoscopic-urachal-excision-in-children
#6
Haris Ahmed, Adam S Howe, Lori L Dyer, Ronnie G Fine, Jordan S Gitlin, Richard N Schlussel, Paul F Zelkovic, Lane S Palmer
OBJECTIVE: To report the first exclusively pediatric series of robot-assisted urachal remnant excisions in children. MATERIALS & METHODS: We reviewed the medical records of all children who underwent robot-assisted excision of urachal remnants from 2010 to 2016. For the procedure, a 3-port approach was performed in all cases. Excision of the urachus was performed, along with partial cystectomy if there was clear or suspected bladder involvement. Outcomes and complications were reviewed...
April 18, 2017: Urology
https://www.readbyqxmd.com/read/28426695/a-comparative-study-of-pediatric-open-pyeloplasty-laparoscopy-assisted-extracorporeal-pyeloplasty-and-robot-assisted-laparoscopic-pyeloplasty
#7
Sang Hoon Song, Chanwoo Lee, Jaeyoon Jung, Sung Jin Kim, Sungchan Park, Hyungkeun Park, Kun Suk Kim
PURPOSE: To compare the outcomes of open pyeloplasty (OP), laparoscopy-assisted extracorporeal (LEXP), and robotic-assisted laparoscopic pyeloplasty (RALP) for ureteropelvic junction obstruction in pediatric patients. METHODS: We retrospectively reviewed the age-matched cohort of 30 children who underwent OP, 30 who underwent LEXP, and 10 who underwent RALP at a single institution, from 1996 to 2014. Pre- and post-operative variables including success rate were compared among surgical groups...
2017: PloS One
https://www.readbyqxmd.com/read/28398104/robotic-surgery-start-up-with-a-fellow-as-the-console-surgeon
#8
Susanne Reinhardt, Inge Boetker Ifaoui, Jorgen Thorup
OBJECTIVE: Owing to the encouraging data on fellowship training in robotic pyeloplasty and the documented benefits of robotic pyeloplasty, the aim of this study was to test the feasibility of starting up pediatric urological robotic surgery in a center with a limited case volume. MATERIALS AND METHODS: The operative parameters and clinical outcome of the first 25 robotic pyeloplasties performed were compared to data on open and laparoscopic procedures from the previous 5 year period...
April 11, 2017: Scandinavian Journal of Urology
https://www.readbyqxmd.com/read/28365863/robot-assisted-laparoscopic-pyeloplasty-in-the-pediatric-population-a-review-of-technique-outcomes-complications-and-special-considerations-in-infants
#9
REVIEW
William R Boysen, Mohan S Gundeti
Ureteropelvic junction obstruction is a common condition encountered by the pediatric urologist, and treated with pyeloplasty when indicated. Recent technological advancements and a shift across all surgical fields to embrace minimally invasive surgery have led to increased utilization of minimally invasive pyeloplasty. Conventional laparoscopy is a reasonable choice, but its use is limited by the technical challenges of precise suturing in a confined space and the associated considerable learning curve. Robotic technology has simplified the minimally invasive approach to pyeloplasty, offering enhanced visualization and improved dexterity with a fairly short learning curve...
April 1, 2017: Pediatric Surgery International
https://www.readbyqxmd.com/read/28350952/future-advances-in-spine-surgery-the-aospine-north-america-perspective
#10
Michael G Fehlings, Christopher S Ahuja, Thomas Mroz, Wellington Hsu, James Harrop
This focus issue highlights state-of-the-art techniques, equipment, and practices in the modern era of spine surgery while providing a glimpse into the next generation of patient care. A broad range of topics are presented to cover the full spectrum of the field. Degenerative diseases are discussed in a series of 3 articles on (1) pathophysiology, management, and surgical approaches to degenerative cervical myelopathy; (2) novel approaches to degenerative thoracolumbar disease (eg, interspinous process spacers, minimally invasive/endoscopic approaches); and (3) animal models and emerging therapeutics in degenerative disk disease...
March 1, 2017: Neurosurgery
https://www.readbyqxmd.com/read/28293866/hidden-incision-endoscopic-surgery-hides-trocar-placement-for-pediatric-robotic-pyeloplasty-comparison-to-traditional-port-placement
#11
Yaejee H Hong, W Robert DeFoor, Pramod P Reddy, Marion Schulte, Eugene A Minevich, Brian A VanderBrink, Paul H Noh
Robotic assisted laparoscopy pyeloplasty (RALP) has been associated with shorter recovery, less pain and improved cosmesis. To minimize visible scars, the hidden incision endoscopic surgery (HIdES) trocar placement has been previously developed. Our aim was to compare outcomes between the HIdES and traditional port placement (TPP) for pediatric RALP. A retrospective study was performed on patients under 15 years of age who underwent RALP at a single institution between August 2011 and November 2013. Patient demographics, intraoperative details, narcotic administration, and complications were reviewed...
March 14, 2017: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/28288777/outcomes-after-pediatric-open-laparoscopic-and-robotic-pyeloplasty-at-academic-institutions
#12
Yvonne Y Chan, Blythe Durbin-Johnson, Renea M Sturm, Eric A Kurzrock
INTRODUCTION: Patient age and hospital volume have been shown to affect perioperative outcomes after pediatric pyeloplasty. However, there are few multicenter studies that focus on outcomes at teaching hospitals, where many of the operations are performed. OBJECTIVE: The goal was to determine if surgical approach, age, case volume, or other factors influence perioperative outcomes in a large contemporary cohort. STUDY DESIGN: Using the clinical database/resource manager (CDB/RM) of the University Health-System Consortium (UHC), children who underwent open, laparoscopic, or robotic pyeloplasty from 2011 to 2014 were identified at 102 academic institutions...
February 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28284732/reduction-in-surgical-fog-with-a-warm-humidified-gas-management-protocol-significantly-shortens-procedure-time-in-pediatric-robot-assisted-laparoscopic-procedures
#13
B Meenakshi-Sundaram, J R Furr, E Malm-Buatsi, B Boklage, E Nguyen, D Frimberger, B W Palmer
INTRODUCTION: The adoption of robot-assisted laparoscopic (RAL) procedures in the field of urology has occurred rapidly, but is, to date, without pediatric-specific instrumentation. Surgical fog is a significant barrier to safe and efficient laparoscopy. This appears to be a significant challenge when adapting three-dimensional 8.5-mm scopes to use in pediatric RAL surgery. The objective of the present study was to compare matched controls from a prospectively collected database to procedures that were performed utilizing special equipment and a protocol to minimize surgical fog in pediatric RAL procedures...
February 24, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28278402/da-vinci-robotic-surgery-in-a-pediatric-hospital
#14
Girolamo Mattioli, Alessio Pini Prato, Barbara Razore, Lorenzo Leonelli, Luca Pio, Stefano Avanzini, Alessandro Boscarelli, Paola Barabino, Nicola Massimo Disma, Clelia Zanaboni, Alfredo Garzi, Sofia Paola Martigli, Nicolò Maria Buffi, Ubaldo Rosati, Paolo Petralia
INTRODUCTION: Since the use of robotic surgery (RS) revolutionized some adult surgery procedures such as radical prostatectomy, it has been progressively and increasingly introduced in pediatric surgery. The aim of this study is to evaluate how the Da Vinci(®) Si HD technology impacts a pediatric public hospital and to define the use of a robotic system in pediatric surgery. MATERIALS AND METHODS: We prospectively included patients older than 6 months of age undergoing RS or conventional minimal access surgery (MAS): Study period ranges between February 2015 and April 2016...
May 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/28254596/robot-assisted-stereotactic-biopsy-of-diffuse-intrinsic-pontine-glioma-a-single-center-experience
#15
Andrea Carai, Angela Mastronuzzi, Alessandro De Benedictis, Raffaella Messina, Antonella Cacchione, Evelina Miele, Franco Randi, Giacomo Esposito, Andrea Trezza, Giovanna Stefania Colafati, Alessandra Savioli, Franco Locatelli, Carlo Efisio Marras
BACKGROUND: Diffuse intrinsic pontine glioma (DIPG) is a childhood tumor with a dismal prognosis. Emerging molecular signatures have paved the way for stereotactic biopsy in selected centers. We present our experience in DIPG stereotactic needle biopsy using the Robotic Stereotactic-Assisted system (ROSA) in a series of consecutive pediatric patients. METHODS: All stereotactic biopsy procedures for DIPG performed during the last year at our institution were considered...
May 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28253887/effectiveness-of-robot-assisted-gait-training-in-children-with-cerebral-palsy-a-bicenter-pragmatic-randomized-cross-over-trial-pelogait
#16
C Ammann-Reiffer, C H G Bastiaenen, A D Meyer-Heim, H J A van Hedel
BACKGROUND: Walking ability is a priority for many children with cerebral palsy (CP) and their parents when considering domains of importance regarding treatment interventions. Partial body-weight supported treadmill training has become an established therapeutic treatment approach to address this demand. Further, new robotic rehabilitation technologies have increasingly been implemented in the clinical setting to allow for longer training sessions with increased step repetitions while maintaining a consistent movement pattern...
March 2, 2017: BMC Pediatrics
https://www.readbyqxmd.com/read/28247324/robotic-ureteral-reimplant-the-current-role
#17
REVIEW
Rajeev Chaudhry, Heidi A Stephany
PURPOSE OF REVIEW: The goal of this article is to review the current role of robotic ureteral reimplant in pediatric patients, specifically in regard to indications, outcomes, and complications. RECENT FINDINGS: Robotic ureteral reimplant has become an increasingly popular alternative to open ureteral reimplant with overall published success rates between 77-100%. In recent years, larger, multi-institutional studies have been conducted revealing lower success rates and higher complications than previously reported, but the procedure still remains safe and effective in the hands of skilled surgeons...
April 2017: Current Urology Reports
https://www.readbyqxmd.com/read/28222205/complex-cystine-kidney-stones-treated-with-combined-robot-assisted-laparoscopic-pyelolithotomy-and-intraoperative-renoscopy
#18
Luca Meggiato, Francesco Cattaneo, Fabio Zattoni, Fabrizio Dal Moro, Paolo Beltrami, Filiberto Zattoni
INTRODUCTION: Cystinuria, a rare autosomal recessive disease characterized by a defect in cystine renal reabsorption, can often determine complex cystine renal calculi, leading to important complications such as urinary obstruction, urinary infections, and impaired kidney function. Complex kidney stones can have a difficult management and can be very arduous to treat. CASE DESCRIPTION: We present the case of a 20-year-old Jeowah's witness woman with complex cystine renal stones treated with combined robot-assisted laparoscopic pyelolithotomy and intraoperative renoscopy...
February 18, 2017: Urologia
https://www.readbyqxmd.com/read/28215831/robotic-appendicovesicostomy-revision-in-a-pediatric-neobladder-patient
#19
Gene O Huang, Rodolfo A Elizondo Sáenz, Jason K Au, Edmond T Gonzales, Patricio C Gargollo
No abstract text is available yet for this article.
December 24, 2016: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28188024/robotic-assisted-gait-training-improves-walking-abilities-in-diplegic-children-with-cerebral-palsy
#20
L Wallard, G Dietrich, Y Kerlirzin, J Bredin
The robotic-assisted gait training therapy (RAGT), based on intensity and repetition of movement, presents beneficial effects on recovery and improvement of postural and locomotor functions of the patient. This study sought to highlight the effect of this RAGT on the dynamic equilibrium control during walking in children with Cerebral Palsy (CP) by analyzing the different postural strategies of the fullbody (upper/lower body) before and after this RAGT in order to generate forward motion while maintaining balance...
May 2017: European Journal of Paediatric Neurology: EJPN
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