WOFAPS 2025 8th World Congress of Pediatric Surgery

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

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

Purpose. The study presents the first experience of the use of robot-assisted surgery for fenestration (decortication) of the outer portion of the cyst and argon-plasma coagulation of its inner lining.

Method. The study presents retrospective data on all patients with simple renal cysts operated on using robot-assisted technology at the Irkutsk State Regional Children's Clinical Hospital. The diagnosis was established by ultrasound examination of the kidneys, as well as data from computed tomography with intravenous administration of a contrast agent. The surgical procedure was performed using a new model of the Versius robotic system manufactured by CMR (Cambridge Medical Robotics, UK).

Results. During this period, 15 robotic surgeries were performed. The mean age of patients at the time of surgery was 5.0±3.5 years (median – 4.0 [3.0; 5.0] years). The mean weight of patients at the time of surgery was 47.0±21.4 kg (median – 48.0 [27.0; 61.0] kg). The size of the cysts was 3.4±0.9 cm (median – 4.0 [3.0; 4.0] cm). The duration of the operation was 69.3±45.4 min (median – 55.0 [50.0; 68.0] min). During the surgical intervention, there were no complications in the form of bleeding from the kidney parenchyma or damage to neighboring organs. The duration of stay of patients in the intensive care unit was 14.8±7.3 hours (median – 17 [7.0; 21.0] hours). Duration of hospitalization was 5.3±3.1 days (median – 4.0 [3.0; 8.0] days). According to the ultrasound examination performed 1, 3 and 6 months after the operation, there were no signs of recurrence of the disease in the form of residual accumulation of fluid associated with the kidney parenchyma.

Conclusion. The experience presented in the scientific study is encouraging and confirms the feasibility and safety of robot-assisted procedures in pediatric urology.