Pediatric Cancer and Pediatric Robotic Surgery
The aim of any minimally invasive surgery is to offer comparable or better outcomes than open surgery with the additional benefit of cosmetics. And for this reason, robotic-assisted surgery has become commonplace even for children including infants.
Pediatric Robotic Surgery requires special expertise since surgery in children’s smaller bodies requires adapting to different quadrants of the abdomen and the chest. The best pediatric surgeons at Centre for Robotic Surgery India are highly experienced in this, and have performed several pediatric surgeries like pediatric urology surgery, pediatric laparoscopic surgery, pediatric plastic surgery and more. Our best pediatric surgeons have performed robotic surgery in children as young as 3 months of age.
Also, we have a dedicated pediatric ward for our young patients, where special care is taken before and after their surgery.
Pediatric Urology Surgery
Leading hospitals across the world are successfully incorporating robotic surgery in pediatric cancer treatments. To learn more about the advent of robotic technology in Pediatric Urology Surgery, please check out this report.
At Centre for Robotic Surgery – A best pediatric hospital in India, the da vinci robotic surgical system is used for the minimally invasive surgery of pediatric patients due to the various benefits it offers including reduction in trauma, incision size and scarring. The da Vinci Surgical System enables the pediatric surgeons to perform more precise surgery on the smaller anatomical structures of children’s bodies, thanks to its motion scaling and tremor reduction features.
Among the most common pediatric robotic procedures are Pyeloplasties, Ureteric Re-Implantation, and Augmentation Cystoplasties which, along with several other procedures, have been performed successfully at our hospital numerous times in the past few years.
Benefits of Pediatric Robotic Surgery
Traditional laparoscopic surgeries have certain limitations when it comes to younger patients. A robotic surgery overcomes these limitations and helps the surgeons accomplish more successful pediatric surgeries.
The benefits of the da Vinci Si Surgical System used at Centre for Robotic Surgery for robotic pediatric surgery are two-fold: It offers advantages to both the surgeon and the child patient.
For surgeons, the benefits include:
- A high-definition, 3-D view of the ongoing procedure
- Better dexterity which helps in correct suturing
- Better precision due to filtering of hand tremors
- More degrees of freedom compared to human hand
Since the surgeon is able to perform better operations, the following benefits are passed on to the child patients:
- Small keyhole-sized incisions and hence, fewer scars
- Shorter hospital stay
- Quicker return to normal activity level
- Reduced risk of blood loss as well as blood transfusion
- Reduced risk of post-operative infections
- Much less pain post the surgery
Pediatric Surgery : Post-Operative Care
The post-operative course after pediatric robotic surgery is dictated depending on the type of surgery done.
In pediatric pyeloplasties an indwelling catheter placed introperatively is removed on day 1 and the patient is discharged on day 2. The same post operative course applies for ureteric re-implantation
In other major procedures such as robotic augmentation the patient remains hospitalized for approximately 4 to 5 days.
Pediatric Cancer and Pediatric Surgery: Frequently Asked Questions
In a pediatric robotic surgery, the patient cart is kept near the robotic surgical system, while the surgeon sits on a separate console from where he controls the robotic instruments. After making two to three incisions about an mm in size, the surgeon places a camera and small robotic surgical tools inside the patient’s body. He then sits on the console and uses the controls to manipulate the robotic arms. The robotic arms function as an extension of the surgeon’s hands. A video screen at the operative console gives the pediatric surgeon a high-definition, 3-D view of the surgical site, looking at which he performs the robotic surgery.
The most common robotic pediatric surgeries done at CRS include Ureteropelvic Junction Obstruction (UPJ), Nephrectomy, and Ureteric Re-Implants. Our experience suggests that robotic surgeries have an advantage of offering smaller incisions and significantly shorter recovery time. As pediatric robotic instrumentation improves, we will be performing more robotic-assisted surgeries.
In case of robotic surgery, patients experience less pain, shorter hospital stays and faster recovery than they do in traditional surgery.
No, this will have to be determined by the consulting best pediatric surgeon at our hospital in India. The eligibility of a pediatric surgery candidate depends on several factors assessed by their physical examination, medical and surgical history, and diagnosis.
This will essentially depend on the patient and the surgery’s outcomes. However, generally the recovery takes only a few days as opposed to several weeks in open surgery. After the surgery, the child may have to stay in the postoperative ward for 24 hrs, and a catheter will remain in place for the next 24 hours. Once the child feels better, he may be discharged after around 48 hours.
At CRS, we have performed robotic surgery on a child 3 months old and weighing 5 kgs, who had a block at the outlet of the kidney (Ureteropelvic Junction Obstruction. She was operated successfully in 2 hours by our team of surgeons and is healthy now.