Periodicidad semestral: flujo continuo.
ISSN - Electrónico: 2661-6947 / DOI: 10.36015 • LILACS BIREME (19784); LATINDEX (20666)
INTRODUCTION. Robotic surgery is performed thanks to the telemanipulated system, achieving repetitive, precise and minimally invasive tasks. In Ecuador it started in the Hospital de Especialidades Carlos Andrade Marín in 2016, including this procedure to pediatrics in 2021. OBJECTIVE. To describe the clinical characteristics and surgical outcomes of pediatric patients operated by robotic surgery. MATERIALS and METHODS. Analytical cross-sectional study. Population of 278 and sample of 40 data from electronic medical records of pediatric patients operated by robotic surgery from August 2021 to March 2022 at the Carlos Andrade Marin Hospital. Inclusion criteria: pediatric patients who underwent robotic surgery at the Hospital de Especialidades Carlos Andrade Marín. Exclusion criteria: adult patients, having undergone open or laparoscopic surgery. The information was obtained from the AS400 system; a database was created by anonymizing the patients. Univariate analysis was applied and the Chi-2 test was used to determine statistical significance. The information collected was analyzed in the statistical program International Business Machines Statistical Package for the Social Sciences. RESULTS: Of the patients in the study: 45.00% (18; 40) were adolescents. 52.50% (21; 40) had no comorbidities. 50.00% (20; 40) of the interventions were cholecystectomy. 55% (22; 40) were for preoperative and postoperative gastrointestinal and hepatic diagnosis. 95.00% (38; 40) had no complications. 100% (40; 40) presented G1 bleeding. 97.50% (39; 40) did not present events, and 72.5% (29; 40) did not present pain. The average weight of the patients was 41 kilograms, with a mean hospital stay of 3 days, an average of 65 minutes of total surgery and 15 minutes of docking, which are statistically significant with a p= 0.001. CONCLUSIONS. The clinical characteristics and surgical results of pediatric patients who underwent robotic surgery were recorded. Robotic surgery was safely applied in pediatric patients at the Carlos Andrade Marin Hospital.
Hernández M. Cirugía robótica [Internet]. Medigraphic.com. 2018 [citado el 8 de noviembre de 2022]. Disponible en:
https://www.medigraphic.com/pdfs/endosco/ce-2018/ce183b.pdf
Yang Hee Woo YF. Cirugía Robótica [Internet]. Elsevier. 2021 [citado el 8 de noviembre de 2022]. Disponible en:
https://clinicalkey.puce.elogim.com/#!/content/book/3-s2.0-9780323640626000165?scrollTo=%23hl0002336
Quirúrgico I. Da Vinci [Internet]. Quirúrgico intuitivo. 2021 [citado el 10 de noviembre de 2022]. Disponible en:
https://www.intuitive.com/en-us/about-us/company/leadership
Lendvay T, Ellison J. Principles of Laparoscopic and Robotic Surgery in Children [Internet]. CLINICALKEY. 2020 [citado el 8 de noviembre de 2022]. Disponible en:
https://www.clinicalkey.com/#!/content/book/3-s2.0-B9780323546423000276
Denning N, Kallis M, Prince JM. Pediatric Robotic Surgery [Internet]. EL SEVIER. 2019 [citado el 8 de noviembre de 2022]. Disponible en:
https://pubmed.ncbi.nlm.nih.gov/32169188/
Hospital Carlos Andrade Marín realiza su cirugía robótica número mil [Internet]. Edición Médica. 2018 [citado el 8 de noviembre de 2022]. Disponible en:
Ecuador. Diario La Hora. Da Vinci manda en la cirugía robótica en Ecuador [Internet]. Diario La Hora. Sección Variedades.2018 [citado el 8 de noviembre de 2022]. Disponible en: https://www.lahora.com.ec/secciones/da-vinci-mandaen-la-cirugia-robotica-en-ecuador/
Coello. C. El Eugenio Espejo repotencia quirófanos e incorpora el Da Vinci [Internet]. Edición Médica. 2020 [citado el 8 de noviembre de 2022]. Disponible en:
Cedeño YM, Pazmiño Chancay MJ, Del Valle D’Ilio Gil H, Aguirre Tello AE. Cirugía robótica, la transición de la cirugía en la actualidad [Internet]. Reciamuc.com. 2022 [citado
el 8 de noviembre de 2022]. Disponible en:
https://www.reciamuc.com/index.php/RECIAMUC/article/view/862/1259
Pereira Fraga JG. Actualidad de la cirugía robótica [Internet]. Revista Cubana de Cirugía. 2017; 56 (1). [citado el 8 de noviembre de 2022]. Disponible en:
http://scielo.sld.cu/pdf/cir/v56n1/cir06117.pdf
Quiñonez Y, de Lope J, Maravall D. Proceso de Acoplamiento de Robots Móviles Modulares mediante Comportamientos Cooperativos [Internet]. Universidad Politécnica
de Madrid. 2022 [citado el 8 de noviembre de 2022]. Disponible en:
León A, Jiménez A, Olivares H. Cambios fisiológicos y consideraciones anestésicas en cirugía robótica no cardíaca [Internet]. Medigraphic.com. 2018 [citado el 8 de noviembre de
. Disponible en:
https://www.medigraphic.com/pdfs/rma/cma-2019/cma191h.pdf
Moreno Sanz C, Loureiro González C. Cirugía robótica [Internet]. Asociación Española de Cirujanos, AEC. 2018 [citado el 8 de noviembre de 2022]. Disponible en:
https://davinci.imedhospitales.com/img/2020/03/monografias-cirugia-robotica.pdf
Cundy T, Di Fabrizio D, Alizai NK, Najmaldin AS. Conversions in pediatric robot-assisted laparoscopic surgery [Internet]. EL SEVIER. 2021 [citado el 8 de noviembre de 2022]. Disponible en:
https://en.x-mol.com/paper/article/1460737292827000832
Subramaniam R. Current Use of and Indications for Robot-assisted Surgery in Paediatric Urology. Sept 2018 4 (5): 662-664. [Internet]. European Urology Focus. 2018 [citado
el 8 de noviembre de 2022]. Disponible en:
https://pubmed.ncbi.nlm.nih.gov/30194030/
Mlambo B, Shih F, Li Y, Wren JM. The impact of operative approach on postoperative outcomes and healthcare utilization after colectomy [Internet]. Cirugía. 2022 Feb; 171 (2) 320-327. [citado el 8 de noviembre de 2022]. Disponible en:
https://pubmed.ncbi.nlm.nih.gov/34362589/
Zhou H,* Shao W, Kong X, Ling J, Wu J. Nanjing Drum Tower Hospital, Nanjing. Impact of Initiating a Robotics Program on Surgical Education at a County Teaching Hospital [Internet]. Clinicalkey. 2018 [citado el 8 de noviembre de 2022]. DOI:10.1016/j.jmig.2018.09.080
Benítez D, Gutiérrez, Mastache C, Pérez J. Manejo analgésico en cirugía robótica [Internet]. Medigraphic.com. 2019 [citado el 8 de noviembre de 2022]. Disponible en:
https://www.medigraphic.com/pdfs/rma/cma-2019/cmas191ag.pdf
Madani A, Mueller CL, Fried GM. Emerging Technology in Surgery: Informatics, Robotics and Electronics [Internet]. Sabiston. 2021 [citado el 8 de noviembre de 2022]. Disponible en: https://thoracickey.com/emerging-technology-in-surgery-informatics-robotics-and-electronics/
Vergez S, Céruse P, Lallemant B, Morinière S, Vairel B, Dupret-Bories A, et al. Principios generales de la cirugía robótica en oncología ORL: técnicas, indicaciones y resultados [Internet]. EMC. 2018 [citado el 8 de noviembre de 2022]. Disponible en:
https://www.em-consulte.com/es/article/1271711/principios-generales-de-la-cirugia-robotica-
en-onc
Kuri Osorio JA, Solorzano Adame JJ, Aguirre García MP, Galeana Nogueda FI, Luján Mendoza KI. Primeros 230 casos en cirugía general asistida por robot por un solo grupo quirúrgico en México. Revista Mexicana de Cirugía Endoscópica [Internet]. 2020;21(2):79–85. Disponible en:
https://www.medigraphic.com/pdfs/endosco/ce-2020/ce202d.pdf
Ellis DB Albrecht MA. Anestesia para Cirugía Robótica. Capítulo 71: 2236-2250. En: Miller RD, Cohen NH, Eriksson L, Fleisher L, Kronish JW, Young W. Miller Anestesia. 9th ed: Elsevier; España. 2021. ISBN: 9788491137368.
Calvo Monge C. Puesta al Día Paciente Politraumatizado Grave: Resucitación hemostática. Rev Esp Pediatr. 2016;72(Supl. 1):41-5. Disponible en:
https://www.secip.com/images/uploads/2018/05/Resucitacion-hemostatica-Dra-Calvo-Monge.pdf
The authors who publish in this journal accept the following conditions:
1. The authors retain the copyright and grant to the CAMbios MEDICAL-SCIENTIFIC JOURNAL HECAM the right of the first publication, with the work registered with the Creative Commons attribution license, which allows third parties to use the published material provided that they mention the authorship of the work and the first publication in this journal.
2. Authors can make other independent and additional contractual agreements for the non-exclusive distribution of the version of the article published in this journal (for example, include it in an institutional repository or publish it in a book) as long as it clearly indicates that the work was published. for the first time in the CAMbios MEDICAL-SCIENTIFIC JOURNAL HECAM.
