Johana Sosa Jurado, MD - Best of the Best in Pediatric Surgery 2024

Awesome. Well, last but not least in this heat, we've got a lot of questions. I'm sure there's more to come. We've got Dr. Joanna Sosa Gerardo, a pediatric surgical resident from Ecuador. She's representing Abero Americana with the work Epidemiological Study of Pediatric Robotic Surgery at Carlos Adrande Marine Hospital. Sorry, Cecilia, you could probably have said that better than I did. But let's play it. Good morning, everybody. I'm president of the 2nd year of the pediatric surgeon Program and I'm going to talk about epidemiological study of pediatric robotic surgery at Carlos and Brada Marie Hospital, Quito, Ecuador. The objective of our study was to present the epidemiological profile of pediatric patients undergoneen by robots and to compare the learning curves according to the time of robotic surgeon at our institution. The profile was female soldiers old, 37 kg, with a median hospitalization of 2 days. The statistically significant variables were days of hospitalization, age, total surgery time, docking, and closure time. We record complications in 14 cases, conversion in 2, and mortality in 2 cases. We have 76 general surgeries and 29 neurological procedures. For surgeon one, BGL corresponds to 44.8% of surgeons, and the surgeon to, 55.2 procedures. Total surgery time and consult time show a positive asymmetry for both surgeons. Conclusion. The average robotic patient was a female adolescent weighing around 37 kg. The most common procedure was cholecystectomy followed by peloplasty. The average hospitalization stay was 2 days without complications and the average total surgical time was 80 minutes, docking 12 and consult time was 42. Thank you very much. Well, I know I have questions, but I keep feeling like I'm taking up all the time here. Um, so, I, I, so Cecilia, why don't, why don't you go first, and then I have two questions actually. So, OK, um, one of the questions is like, um, is there any difference between the learning curve of complex operations versus basic procedures? Uh yes, thank you for the question 1st. 2nd, yes, there are a difference, uh, very important in our study. Um, we have a young program of robotic surgeons 2021 from 2023 and two surgeons with operation or operate a colorectal more difficult surgeries. Uh, the learning curve was, uh Uh, separate or most time to realize the sur the surgery. And for example, cholecystectomy and uh neoplasty. This is not difficult but a small difference with colorectal surgery. The time or the, the time for relax or do the surgery was very short. There are a difference. Johanna, thank you so much for the presentation. Um, as somebody who still is, uh, too, uh, stubborn, me to do robotic surgery, um, I, I want to do it, but I haven't found the need yet. And here's my question. The cases where I believe it would benefit me the most would be the neonatal. The case that Darius just showed, the neonatal tough cases, but we can't, it's too big. So, we have it for the bigger patients. And it seems to me the biggest benefits there are pelvic surgery, uh, pyeloplasty, uh, as well, but also, um, you know, maybe deep pelvic surgery. But for most pediatric surgery cases, you do pyeloplasty, but for people like me that do not, What, where do you find it is incredibly helpful other than a pyeloplasty or deep pelvic surgery? But I saw you did cholecystectomy, but is it really easier or necessary? Uh, it's not easy, the cholecystectomy. The yeloplasty is considered the surgery most complicated. It's very, very detailed, very, uh, slow movements, uh, identify the structures, very, very, very quiet, very slow and it's considered a complicated surgery but uh the two surgeons in our program, uh, first, uh, or 11 of them. He liked the urological procedures and uh uh he realized uh peloplasty, um, on other urological procedures and the, the other surgeon is most for colorectal and these 22 programs or these two factors contribute the difference in our study. OK, thank you so much. Thank you so much.