WOFAPS 2025 8th World Congress of Pediatric Surgery

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Poster Display - 34

Robotic-assisted surgery in the treatment of renal pathologies in children

Alexander Rozhansky 1, Yury Kozlov 2, Eduard Sapukhin 1, Andrey Marchuk 1, Roman Teschuk 1
1 Irkutsk State Regional Children's Hospital, Department of Pediatric Surgery, Irkutsk
2 Irkutsk State Medical University, Department of Pediatric Surgery, Irkutsk

Purpose. Robotic-assisted surgery is a revolution in minimally invasive surgery in children's urology. The robotic platform saves the advantages of laparoscopic surgery, while having an improved three-dimensional view, dexterity, range of motion, and control of high-resolution cameras. The aim of the study is to analyze the results of robotic-assisted operations for renal pathologies in children.

Method. The study is a retrospective analysis of cases of treatment of patients operated on in the Irkutsk State Regional Children's Hospital (Irkutsk, Russia) using the Versius robotic system (CMR, UK). The total number of patients included in this study was 24. The types of operations included: renal cyst fenestration – 13 patients (54.1%); nephrectomy – 9 patients (37.5%); heminephrectomy – 1 patient (4.2%); suturing of calyceal diverticulum – 1 patient (4.2%). In total there were 10 (41.7%) boys and 14 (58.3%) girls.

Results. The average age at the time of surgery was 11.8±4.3 years (median – 12.0 [8.0; 15.0] years). The average weight at the time of surgery was 43.4±16.5 kg (median – 41.0 [32.0; 55.0] kg). The average duration of the surgery was 104.3±59.0 minutes (median – 95.0 [56.0; 139.0] minutes), of which the main console time was 86.9±60.5 minutes (median – 80.0 [45.0; 128.0] minutes). All procedures were performed without conversion to laparoscopy or laparotomy and without intraoperative difficulties and complications. The postoperative period was uneventful. The average length of hospital stay was 5.7±3.2 days (median – 4.0 [4.0; 8.0] days). At 6 months after surgery, patients had no problems with urination, infection or relapses.

Conclusion. Initial experience with robotic-assisted surgery has confirmed that robotics can be used safely and effectively in children with renal disease.

Keywords: robotic-assisted surgery, renal cyst, nephrectomy, hemynephrecotmy, calyceal diverticulum, children

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