# Pediatric Surgery Essentials — GCMD Library living collection

Updated: n/a · 4 episodes · 12 cited statements

## Episodes
### Congenital Anomalies
- [Duodenal Atresia with Dr. Juan Gurria](https://library.globalcastmd.com/watch/duodenal-atresia-with-dr-juan-gurria-14982) — podcast · [machine version](https://library.globalcastmd.com/watch/duodenal-atresia-with-dr-juan-gurria-14982.md)

### Common Surgical Conditions
- [Surgeon annual volume impacts recurrence rates of pediatric inguinal hernia repairs: A multi-institutional study](https://library.globalcastmd.com/watch/surgeon-annual-volume-impacts-recurrence-rates-of-pediatric-inguinal-hernia-repairs-a-multi-institutional-study-11554) — video · 0:54 · [machine version](https://library.globalcastmd.com/watch/surgeon-annual-volume-impacts-recurrence-rates-of-pediatric-inguinal-hernia-repairs-a-multi-institutional-study-11554.md)

### Surgical Techniques & Technology
- [Update Course Rewind 2025: Robotics in Pediatric Surgery: Which indications benefit the most?](https://library.globalcastmd.com/watch/update-course-rewind-2025-robotics-in-pediatric-surgery-which-indications-benefit-the-most-12230) — video · 4:35 · [machine version](https://library.globalcastmd.com/watch/update-course-rewind-2025-robotics-in-pediatric-surgery-which-indications-benefit-the-most-12230.md)
- [Update Course Rewind 2025: Robotics in Pediatric Surgery: Which indications benefit the most?](https://library.globalcastmd.com/watch/update-course-rewind-2025-robotics-in-pediatric-surgery-which-indications-benefit-the-most-14985) — podcast · [machine version](https://library.globalcastmd.com/watch/update-course-rewind-2025-robotics-in-pediatric-surgery-which-indications-benefit-the-most-14985.md)

## Chapters
- [0:00](https://library.globalcastmd.com/watch/surgeon-annual-volume-impacts-recurrence-rates-of-pediatric-inguinal-hernia-repairs-a-multi-institutional-study-11554?t=0) Surgeon Volume and Pediatric Inguinal Hernia Recurrence (Ep 2)
- [0:00](https://library.globalcastmd.com/watch/update-course-rewind-2025-robotics-in-pediatric-surgery-which-indications-benefit-the-most-12230?t=0) Introduction and Advantages of Robotic Surgery (Ep 3)
- [1:08](https://library.globalcastmd.com/watch/update-course-rewind-2025-robotics-in-pediatric-surgery-which-indications-benefit-the-most-12230?t=68) Learning Curve and Common Concerns (Ep 3)
- [2:23](https://library.globalcastmd.com/watch/update-course-rewind-2025-robotics-in-pediatric-surgery-which-indications-benefit-the-most-12230?t=143) Colorectal Surgery Outcomes and Proficiency Requirements (Ep 3)
- [3:14](https://library.globalcastmd.com/watch/update-course-rewind-2025-robotics-in-pediatric-surgery-which-indications-benefit-the-most-12230?t=194) Clinical Indications and Future Outlook (Ep 3)

## Statements
Every statement is attributed, typed, and timestamped; the link is the citation.
- Robotic surgery provides 7 degrees of freedom for mobility compared to the human hand's 6 degrees. — Juan Gurria (clinical) [Ep 3 · 0:41](https://library.globalcastmd.com/watch/update-course-rewind-2025-robotics-in-pediatric-surgery-which-indications-benefit-the-most-12230?t=41)
- The learning curve for robotic surgery is better than laparoscopic surgery. — Juan Gurria (clinical) [Ep 3 · 1:21](https://library.globalcastmd.com/watch/update-course-rewind-2025-robotics-in-pediatric-surgery-which-indications-benefit-the-most-12230?t=81)
- Time to reduce operative times is way faster for robotic surgery than laparoscopic after a few cases. — Juan Gurria (clinical) [Ep 3 · 1:26](https://library.globalcastmd.com/watch/update-course-rewind-2025-robotics-in-pediatric-surgery-which-indications-benefit-the-most-12230?t=86)
- There is no FDA approval for robotic surgery in pediatrics, but it should be coming soon. — Juan Gurria (guideline) [Ep 3 · 1:42](https://library.globalcastmd.com/watch/update-course-rewind-2025-robotics-in-pediatric-surgery-which-indications-benefit-the-most-12230?t=102)
- After a few cases, robotic surgery decreases operative time, which reduces costs in the long run. — Juan Gurria (clinical) [Ep 3 · 1:53](https://library.globalcastmd.com/watch/update-course-rewind-2025-robotics-in-pediatric-surgery-which-indications-benefit-the-most-12230?t=113)
- New robotic systems allow surgeons to detect when suture is about to rupture. — Juan Gurria (clinical) [Ep 3 · 2:05](https://library.globalcastmd.com/watch/update-course-rewind-2025-robotics-in-pediatric-surgery-which-indications-benefit-the-most-12230?t=125)
- Surgeons get tactile feedback from visual cues in robotic surgery, and it takes only a few cases to adapt. — Juan Gurria (clinical) [Ep 3 · 2:17](https://library.globalcastmd.com/watch/update-course-rewind-2025-robotics-in-pediatric-surgery-which-indications-benefit-the-most-12230?t=137)
- With trained personnel, room turnover time for robotic surgery equals that of laparoscopic surgery. — Juan Gurria (clinical) [Ep 3 · 2:37](https://library.globalcastmd.com/watch/update-course-rewind-2025-robotics-in-pediatric-surgery-which-indications-benefit-the-most-12230?t=157)
- Basic proficiency in laparoscopy requires 20 to 30 cases. — Juan Gurria (clinical) [Ep 3 · 2:51](https://library.globalcastmd.com/watch/update-course-rewind-2025-robotics-in-pediatric-surgery-which-indications-benefit-the-most-12230?t=171)
- Basic proficiency in robotic surgery requires 10 to 15 cases. — Juan Gurria (clinical) [Ep 3 · 2:55](https://library.globalcastmd.com/watch/update-course-rewind-2025-robotics-in-pediatric-surgery-which-indications-benefit-the-most-12230?t=175)
- Robotic surgery does not impair outcomes in oncologic surgeries. — Juan Gurria (clinical) [Ep 3 · 3:07](https://library.globalcastmd.com/watch/update-course-rewind-2025-robotics-in-pediatric-surgery-which-indications-benefit-the-most-12230?t=187)
- Future pediatric surgeons entering the field will be doing robotic surgery rather than laparoscopy. (opinion) [Ep 3 · 3:28](https://library.globalcastmd.com/watch/update-course-rewind-2025-robotics-in-pediatric-surgery-which-indications-benefit-the-most-12230?t=208)

## Host summaries
Recaps by a host of what the experts said — not the host's own clinical position.
- Heller et al. published a multi-institutional study in the Journal of Pediatric Surgery in 2025 exploring the impact of surgeon volume on patients with inguinal hernias. — Jill Knepprath summarizing a resource [Ep 2 · 0:10](https://library.globalcastmd.com/watch/surgeon-annual-volume-impacts-recurrence-rates-of-pediatric-inguinal-hernia-repairs-a-multi-institutional-study-11554?t=10)
- Inguinal hernias repaired by lower volume surgeons had a 1.5 fold increase in the odds of recurrence. — Jill Knepprath summarizing a resource [Ep 2 · 0:22](https://library.globalcastmd.com/watch/surgeon-annual-volume-impacts-recurrence-rates-of-pediatric-inguinal-hernia-repairs-a-multi-institutional-study-11554?t=22)
- When broken down by surgical approach, there was no difference in recurrence rates for open inguinal hernia repairs based on surgeon volume. — Jill Knepprath summarizing a resource [Ep 2 · 0:30](https://library.globalcastmd.com/watch/surgeon-annual-volume-impacts-recurrence-rates-of-pediatric-inguinal-hernia-repairs-a-multi-institutional-study-11554?t=30)
- Laparoscopic inguinal hernia repairs done by lower volume surgeons had a 3.3 fold increase in the odds of recurrence. — Jill Knepprath summarizing a resource [Ep 2 · 0:35](https://library.globalcastmd.com/watch/surgeon-annual-volume-impacts-recurrence-rates-of-pediatric-inguinal-hernia-repairs-a-multi-institutional-study-11554?t=35)
- The authors of the Heller et al. study recommend maintaining a high volume of laparoscopic repairs, and if that's not possible, to seek help from a higher volume surgeon. — Jill Knepprath summarizing a resource [Ep 2 · 0:44](https://library.globalcastmd.com/watch/surgeon-annual-volume-impacts-recurrence-rates-of-pediatric-inguinal-hernia-repairs-a-multi-institutional-study-11554?t=44)
- All pediatric surgical patients are good candidates for robotic surgery. — Jill Knepprath summarizing the discussion [Ep 3 · 0:33](https://library.globalcastmd.com/watch/update-course-rewind-2025-robotics-in-pediatric-surgery-which-indications-benefit-the-most-12230?t=33)
- Robotic surgery reduces postoperative pain and infection risk, leading to faster recovery. — Jill Knepprath summarizing the discussion [Ep 3 · 1:02](https://library.globalcastmd.com/watch/update-course-rewind-2025-robotics-in-pediatric-surgery-which-indications-benefit-the-most-12230?t=62)
- Robotic surgery improves depth perception compared to laparoscopic surgery. — Jill Knepprath summarizing the discussion [Ep 3 · 2:09](https://library.globalcastmd.com/watch/update-course-rewind-2025-robotics-in-pediatric-surgery-which-indications-benefit-the-most-12230?t=129)
- Robotic surgery reduces surgeon fatigue compared to laparoscopic surgery. — Jill Knepprath summarizing the discussion [Ep 3 · 2:14](https://library.globalcastmd.com/watch/update-course-rewind-2025-robotics-in-pediatric-surgery-which-indications-benefit-the-most-12230?t=134)
- In colorectal surgery, robotic operative time is longer than laparoscopic. — Jill Knepprath summarizing the discussion [Ep 3 · 2:23](https://library.globalcastmd.com/watch/update-course-rewind-2025-robotics-in-pediatric-surgery-which-indications-benefit-the-most-12230?t=143)
- Laparoscopy has a higher conversion rate to open surgery than robotic surgery in colorectal cases. — Jill Knepprath summarizing the discussion [Ep 3 · 2:23](https://library.globalcastmd.com/watch/update-course-rewind-2025-robotics-in-pediatric-surgery-which-indications-benefit-the-most-12230?t=143)
- Both robotic and laparoscopic surgery have comparable oncologic results. — Jill Knepprath summarizing the discussion [Ep 3 · 2:32](https://library.globalcastmd.com/watch/update-course-rewind-2025-robotics-in-pediatric-surgery-which-indications-benefit-the-most-12230?t=152)
- It takes half the number of cases to become proficient in robotic surgery versus laparoscopy. — Jill Knepprath summarizing the discussion [Ep 3 · 2:57](https://library.globalcastmd.com/watch/update-course-rewind-2025-robotics-in-pediatric-surgery-which-indications-benefit-the-most-12230?t=177)
- Robotics can be indicated for surgeries in the chest, pelvic reconstruction, abdominal tumors, and urology. — Jill Knepprath summarizing the discussion [Ep 3 · 3:14](https://library.globalcastmd.com/watch/update-course-rewind-2025-robotics-in-pediatric-surgery-which-indications-benefit-the-most-12230?t=194)
- In smaller patients, ports should be measured 3 centimeters apart. — Jill Knepprath summarizing the discussion [Ep 3 · 3:24](https://library.globalcastmd.com/watch/update-course-rewind-2025-robotics-in-pediatric-surgery-which-indications-benefit-the-most-12230?t=204)
- Robotic surgery in pediatric patients is ideal in select cases including adrenal masses, polyoco cysts, and nephrectomies. — Jill Knepprath summarizing the discussion [Ep 3 · 3:38](https://library.globalcastmd.com/watch/update-course-rewind-2025-robotics-in-pediatric-surgery-which-indications-benefit-the-most-12230?t=218)
- Reported cons of robotic surgery include cost, setup time, the size of the ports, and a steep learning curve. — Jill Knepprath summarizing the discussion [Ep 3 · 3:52](https://library.globalcastmd.com/watch/update-course-rewind-2025-robotics-in-pediatric-surgery-which-indications-benefit-the-most-12230?t=232)
- Once proficiency is achieved, operative times and conversions to open surgery are lower for robotic surgery compared to laparoscopy. — Jill Knepprath summarizing the discussion [Ep 3 · 4:06](https://library.globalcastmd.com/watch/update-course-rewind-2025-robotics-in-pediatric-surgery-which-indications-benefit-the-most-12230?t=246)

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