WOFAPS 2025 8th World Congress of Pediatric Surgery

Yury Kozlov ¹, Alexander Rozansky ², Eduard Sapukhin ³, Andrey Marchuk ³, Roman Teschuk ³

¹ Irkutsk State Medical University, Department of Pediatric Surgery, Irkutsk
² Irkutsl State Medical Academy of Postgraduate Education, Department of Pediatric Surgery, Irkutsk
³ Irkutsk State Regional Children's Hospital, Department of Pediatric Surgery, Irkutsk

Purpose. Robot-assisted surgery in pediatric urology is developing most intensively among other surgical disciplines in the direction from simple to complex reconstructive interventions. The aim of this study is to demonstrate a series of cases of robotic procedures performed in pediatric patients with duplex kidney.

Method. The scientific study was carried out at the Irkutsk State Regional Children's Clinical Hospital. 3 robotic surgeries were performed: 2 end-to-side anastomoses and 1 heminephrectomy - in the absence of function of the upper segment of the doubled kidney. Robotic surgeries were performed using the new Versius robotic platform from CMR (Cambridge Medical Robotics, UK). During the study, perioperative patient parameters related to demographic data, surgical details, and early and late consequences were recorded.

Results. The total number of patients included in this study was 3, of which 2 (66.7%) were boys and 1 (33.3%) were girls. The average age at the time of surgery was 12.6±2.0 years (median – 12.0 [12.0; 14.0] years), and the average weight at the time of surgery was 40.3±5.1 kg (median – 39.0 [38.0; 43.0] kg). The average duration of the surgery was 195.0±47.7 minutes (median – 220.0 [180.0; 223.0] minutes), of which the main console time was 176.6±49.0 minutes (median – 205.0 [163.0; 205.0] minutes). All procedures were performed fully robotically without conversion to laparoscopy or open surgery. Surgical interventions were performed successfully without intraoperative difficulties and complications. The postoperative period was uneventful. The average length of stay in the intensive care unit was 21.0±2.6 hours (median – 20.0 [20.0; 22.0] hours). The average length of hospital stay was 10.3±3.5 days (median – 10.0 [9.0; 12.0] days). At 6 months after surgery, patients had no problems with urination, infection, and pain.

Conclusion. Initial experience with robotic-assisted surgery confirmed that robotics can be safely and effectively used in children with upper urinary tract duplication.