Conversions in Pediatric Robot-Assisted Laparoscopic Surgery
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Read the article on jpedsurg.org ↗Article · Nov 2021 · 1 min read
In brief
In brief
Analysis of 601 robot-assisted laparoscopic procedures in 539 pediatric patients over 11 years reveals a 5.8% conversion rate, with significantly higher rates in younger children (10% in 0-2 years vs 4.2% in 6-18 years). Study identifies age-related risk factors and procedural variations in conversion rates for pediatric robotic surgery.
Written by the GCMD Library team from the article.
Background
New technology attracts necessary concerns regarding safety and effectiveness, including the risk and circumstances of conversions. This study analyses our 11-year experience of conversions from a dedicated pediatric robot-assisted laparoscopic surgery service.
Methods
Consecutive patients were evaluated from a prospective database for the period March 2006 to May 2017. Descriptive and quantitative data for conversions were analysed. Variables were investigated including year of surgery, patient age, operation type, surgeon, and experience.
Results
A total of 539 children underwent 601 procedures. There were 45 different types of procedures. Mean (± SD) age was 7.0 ± 5.2 years, and youngest 4 weeks old. There were 31 conversions (5.8%). Conversion rates were significantly higher in younger children, with rates of 10.0%, 6.1% and 4.2% for age groups 0–2, 2–6, and 6–18 years respectively (p=0.01). There was a significant difference in conversion rates amongst procedures (p