Periodicidad semestral: flujo continuo.
ISSN - Electrónico: 2661-6947 / DOI: 10.36015 • LILACS BIREME (19784); LATINDEX (20666)
INTRODUCTION: Robotics has emerged as an innovative tool in the field of minimally invasive surgery.
OBJECTIVE: To conduct an epidemiological analysis of pediatric robotic surgery, as well as to describe the outcomes, complications, surgical times, and each type of surgery performed as part of the robotic surgery program at HECAM during the period 2021-2023.
MATERIALS AND METHODS: An analytical cross-sectional study was conducted, including
105 pediatric patients of both sexes, aged between 1 and 17 years. The variables analyzed
included weight, type of surgery, complications, duration of hospital stay, number of procedures
performed, total surgical time, docking time, console time, and surgical closure time.
RESULTS: A total of 105 patients were included (45.7% male; 54.3% female) with a mean age
of 9.85 years (SD 4.53) and an average weight of 38.13 kg (SD 19.46). The total operative time
was 102.67 minutes (SD 65.07), docking time 14.83 minutes (SD 9.36), closure time 22.54
minutes (SD 11.15), and console use time 65 minutes (SD 57.16). General surgery accounted
for 72.4% of the procedures, and urology accounted for 27.6%. The overall complication rate
was 13.3%: 4.8% minor, 1% moderate, 1.9% severe, 2.9% life-threatening, and 1.9% mortality.
CONCLUSIONS: Pediatric robotic surgery at HECAM proved to be a safe and feasible approach, with a low rate of major complications and minimal conversion to open surgery. Surgical times varied significantly depending on the type of procedure, showing a pattern of progressive
operational improvement. These results support the adoption and continuation of the pediatric robotic program, as well as the need for comparative and multicenter studies to strengthen the
existing evidence.
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