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Robotic surgery in pediatric urology

查看全文 作  者:Adam [1]Howe;Zachary [2]Kozel;Lane [3]Palmer 高影响力作者 机构地区:[1]Steven and Alexandra Cohen Children’s Medical Center Ringgold Standard Institution e Pediatric Urology,Center for Advanced Medicine Smith Institute for Urology,New Hyde Park,NY,USA;[2]Long Island Jewish Medical Center Ringgold Standard Institution e Urology,Center for Advanced Medicine Smith Institute for Urology,New Hyde Park,NY,USA;[3]Steven and Alexandra Cohen Children’s Medical Center Ringgold Standard Institution e Pediatric Urology,Pediatric Urology Associates,New Hyde Park,NY,USA高影响力机构 出  处:《Asian Journal of Urology》索引2017年第4卷第1期,共13页高影响力期刊 摘  要:While robotic surgery has shown clear utility and advantages in the adult population,its role in pediatrics remains controversial.Pediatric-sized robotic instruments and equipment are not readily available yet,so certain modifications can be made in order to make robotic surgery successful in children.While the cost of robotic surgery remains high compared to open procedures,patients experience greater satisfaction and quality of life with robotic surgery.Robotic pyeloplasty is a standard of care in older children,and has even been performed in infants and re-do surgery.Other robotic procedures performed in children include heminephroureterectomy,ureteroureterostomy,ureteral reimplantation,urachal cyst excision,bladder diverticulectomy,and bladder reconstructive procedures such as augmentation,appendicovesicostomy,antegrade continence enema,bladder neck reconstruction and sling,as well as other procedures.Robotic surgery has also been used in oncologic cases such as partial nephrectomy and retroperitoneal lymph node dissection.Future improvements in technology with production of pediatric-sized robotic instruments,along with increases in robotictrained pediatric urologists and surgeon experience along each’s learning curve,will help to further advance the field of robotic surgery in pediatric urology. 关 键 词:ROBOTIC ROBOTIC-ASSISTED PEDIATRIC CHILDREN UROLOGY
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