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Navarrete-Arellano. Mini-invasive Surg 2020;4:9 Mini-invasive Surgery
DOI: 10.20517/2574-1225.2019.70

Original Article Open Access

Thoracic surgery by minimally invasion robot-
assisted in children: “experience and current

status”

Mario Navarrete-Arellano

Pediatric Surgery, Hospital Central Militar, SEDENA, Mexico City 11200, Mexico.
Correspondence to: Dr. Mario Navarrete-Arellano, Pediatric Surgery, Hospital Central Militar, Periférico Blvrd Manuel Ávila
Camacho s/n, Miguel Hidalgo, Mexico City 11200, Mexico. E-mail: drcirugiaroboticamx@gmail.com
How to cite this article: Navarrete-Arellano M. Thoracic surgery by minimally invasion robot-assisted in children: “experience
and current status”. Mini-invasive Surg 2020;4:9. http://dx.doi.org/10.20517/2574-1225.2019.70
Received: 28 Dec 2019 First Decision: 17 Jan 2020 Revised: 25 Jan 2020 Accepted: 3 Feb 2020 Published: 12 Feb 2020

Science Editor: Noriyoshi Sawabata Copy Editor: Jing-Wen Zhang Production Editor: Jing Yu

Abstract

Aim: We report our experience in minimally invasive thoracic robot-assisted surgery in children, and a current
analysis is carried out on this topic.

Methods: Observational, prospective, and longitudinal studies were performed for children with thoracic pathology
treated with robotic surgery, from March 2015 to April 2019. We used the “da Vinci surgical system” (Intuitive
Surgical, Inc., Sunnyvale, CA. USA). Registered variables included demographic data, diagnosis, surgery, total time,
time of console surgery, bleeding, hemotransfusions, conversions, complications, postoperative (PO) stay, and
follow-up. Measures of central tendency were used. Research Ethics Committee of Hospital approved the study.
We conducted a detailed non-systematic review of previous publications of children undergoing thoracic robotic
surgery.

Results: We treated 11 children, with average age of 5.7 years and weight of 21.3 kg. Diagnosis were: congenital
cystic adenomatoid malformation, intralobar sequestration, diaphragmatic paralysis, diaphragmatic eventration,
mediastinal teratoma, Ewing’s tumor of the fourth left rib, and pulmonary tuberculosis. Surgeries performed were:
four lobectomies, four diaphragmatic plications, two tumor resections, and a case of pleural and lung biopsies. The
average of console surgery time was 166.45 min, PO stay was 3.6 days, and follow-up was 24.7 months. Conversions
and PO complications were 9.1%, and there were no intraoperative complications and mortality. Currently, the
number of children treated with thoracic robot-assisted surgery has barely reached 100 cases.

© The Author(s) 2020. Open Access This article is licensed under a Creative Commons Attribution 4.0
International License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use,
sharing, adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as long
as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license,
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