{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T14:12:21Z","timestamp":1788358341080,"version":"build-2803163510"},"reference-count":21,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2010,2,3]],"date-time":"2010-02-03T00:00:00Z","timestamp":1265155200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2010,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The purpose of this study was to assess the safety and feasibility of performing robot\u2010assisted pediatric surgery using the da Vinci Surgical System in a variety of surgical procedures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective review of 144 robot\u2010assisted pediatric surgical procedures performed in our institution between June 2004 and December 2007 was done. The procedures included the following: 39 fundoplications; 34 cholecystectomies; 25 gastric bandings; 13 splenectomies; 4 anorectal pull\u2010through operations for imperforate anus; 4\u00a0nephrectomies; 4 appendectomies; 4 sympathectomies; 3 choledochal cyst excisions with hepaticojejunostomies; 3\u00a0inguinal hernia repairs; two each of the following: liver cyst excision, repair of congenital diaphragmatic hernia, Heller\u2019s myotomy, and ovarian cyst excision; and one each of the following: duodeno\u2010duodenostomy, adrenalectomy, and hysterectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 134 procedures were successfully completed without conversion; 7 additional cases were converted to open surgery, and 3 were converted to laparoscopic surgery. There were no system failures (e.g., setup joint, arm, or camera malfunction; power error; monocular or binocular loss; metal fatigue or break of surgeon\u2019s console hand piece; software incompatibility). There was one esophageal perforation and two cases of transient dysphagia following Nissen fundoplication. The mean patient age was 8.9 years, and the mean patient weight was 57\u00a0kg.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Robot\u2010assisted surgery appears to be safe and feasible for a number of pediatric surgical procedures. Further system improvement and randomized studies are required to evaluate the benefits, if any, and the long\u2010term outcomes of robotic surgery.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-010-0431-6","type":"journal-article","created":{"date-parts":[[2010,2,2]],"date-time":"2010-02-02T17:19:09Z","timestamp":1265131149000},"page":"975-978","source":"Crossref","is-referenced-by-count":68,"title":["Robot\u2010Assisted Pediatric Surgery: How Far Can We Go?"],"prefix":"10.1002","volume":"34","author":[{"given":"Aayed","family":"Alqahtani","sequence":"first","affiliation":[{"name":"Division of Pediatric Surgery, College of Medicine King Saud University P.O. Box 84147 11671 Riyadh Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdullrahman","family":"Albassam","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, College of Medicine King Saud University P.O. Box 84147 11671 Riyadh Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed","family":"Zamakhshary","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery King Saud bin Abdulaziz University for Health Sciences Riyadh Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed","family":"Shoukri","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, College of Medicine King Saud University P.O. Box 84147 11671 Riyadh Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tariq","family":"Altokhais","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, College of Medicine King Saud University P.O. 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