Robotic Mitrofanoff Surgery in Children
Author Information
Author(s): Ronconi Di Giuseppe Diana, Claxton Harry, Duhoky Rauand, Piozzi Guglielmo Niccolò, Khan Jim S.
Primary Institution: Department of Colorectal Surgery, Portsmouth Hospitals University NHS Trust, Portsmouth, UK
Hypothesis
The study aims to review the existing literature on robotic Mitrofanoff procedures in pediatric patients.
Conclusion
Robotics can offer potential advantages for the Mitrofanoff procedure, despite its application still being in its early stages.
Supporting Evidence
- Six studies were included in the review, all conducted in the USA.
- The mean operative time was 499.3 minutes.
- Four studies reported a median length of stay of 6 days.
- Complications were reported in some studies, with rates comparable to open surgery.
Takeaway
This study looks at how robotic surgery can help children with bladder problems by making a special channel for catheter use, which might be easier and safer.
Methodology
A systematic review was conducted on paediatric robotic Mitrofanoff procedures using databases like PubMed, Cochrane, and Scopus, following the PRISMA guidelines.
Potential Biases
The risk of bias was low in most studies, but some studies scored low in comparability.
Limitations
The included studies were of low quality, primarily retrospective, and lacked comparators, which limits the strength of the conclusions.
Participant Demographics
All studies included patients aged 12 years or younger, with a mean age of 9.3 years; sex was reported in 50% of studies, with 61.1% of those being female.
Digital Object Identifier (DOI)
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