ArticleJournal of robotic surgery2022
Robotic infant surgery with 3 mm instruments: a study in piglets of less than 10 kg body weight.
Article in Journal of robotic surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
12 citing papers in PubMed.
- Electromagnetic Surgical Navigation for Accurate Pediatric Tumor Localization: A Preclinical Animal Cadaver Study.Cancers · 2026Article
- An international multicenter experience with the SenhanceJournal of robotic surgery · 2026Article
- Kurt-Semm-Center of minimally invasive and robot-assisted surgery: Over 10 years of an interdisciplinary and interprofessional project in clinical application, research and training.Journal of robotic surgery · 2026Review
- Exploring the future of robotic approaches in neonatal cardiac surgery: opportunities, barriers, and innovation pathways.Journal of robotic surgery · 2025Review
- SAGES tool for assessing robotic surgery systems (STARSS).Surgical endoscopy · 2025Article
- Robotic-assisted laparoscopy in pediatric surgical oncology: a narrative review.Translational pediatrics · 2023Review
- Evaluation of the Versius Robotic System for Infant Surgery-A Study in Piglets of Less than 10 kg Body Weight.Children (Basel, Switzerland) · 2023Article
- Senhance Robotic Platform in Pediatrics: Early US Experience.Children (Basel, Switzerland) · 2023Article
- Assessment of the Versius Robotic Surgical System in Minimal Access Surgery: A Systematic Review.Journal of clinical medicine · 2022Review
- Robotically Assisted Surgery in Children-A Perspective.Children (Basel, Switzerland) · 2022Review
- First Pediatric Pyeloplasty Using the SenhanceChildren (Basel, Switzerland) · 2022Article
- Evaluation of the Versius Robotic Surgical System for Procedures in Small Cavities.Children (Basel, Switzerland) · 2022Article
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Authors and funding
15 authors.
Funding
Abstract
No data exist concerning the appication of a new robotic system with 3 mm instruments (Senhance®, Transenterix) in infants and small children. Therefore, the aim of this study was to test the system for its feasibility, performance and safety of robotic pediatric abdominal and thoracic surgery in piglets simulating infants with a body weight lower than 10 kg. 34 procedures (from explorative laparoscopy to thoracoscopic esophageal repair) were performed in 12 piglets with a median age of 23 (interquartile range: 12-28) days and a median body weight of 6.9 (6.1-7.3) kg. The Senhance® robotic system was used with 3 mm instruments, a 10 mm 3D 0° or 30° videoscope and advanced energy devices, the setup consisted of the master console and three separate arms. The amount, size, and position of the applied ports, their distance as well as the distance between the three operator arms of the robot, external and internal collisions, and complications of the procedures were recorded and analyzed. We were able to perform all planned surgical procedures with 3 mm robotic instruments in piglets with a median body weight of less than 7 kg. We encountered two non-robot associated complications (bleeding from the inferior caval and hepatic vein) which led to termination of the live procedures. Technical limitations were the reaction time and speed of robotic camera movement with eye tracking, the excessive bending of the 3 mm instruments and intermittent need of re-calibration of the fulcrum point. Robotic newborn and infant surgery appears technically feasible with the Senhance® system. Software adjustments for camera movement and sensitivity of the fulcrum point calibration algorithm to adjust for the increased compliance of the abdominal wall of infants, therefore reducing the bending of the instruments, need to be implemented by the manufacturer as a result of our study. To further evaluate the Senhance® system, prospective trials comparing it to open, laparoscopic and other robotic systems are needed.
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