ArticleJournal of robotic surgery2022
The follow-up of the robotic-assisted Soave procedure for Hirschsprung's disease in children.
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 17 papers, 3 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 26 citations in OpenAlex.
- Outcomes of robotic-assisted soave pull-through procedure for Hirschsprung disease: a systematic review and meta-analysis.Journal of robotic surgery · 2026Pooled it
- Single-incision laparoscopic endorectal pull-through for Hirschsprung disease: a prospective institutional study and systematic review with meta-analysis.Surgical endoscopy · 2025Pooled it
- Robotic surgery for Hirschsprung disease: a systematic review and meta-analysis.Journal of robotic surgery · 2025Pooled it
- Robot-assisted surgery for Hirschsprung disease in children: initial single-center experience.Frontiers in surgery · 2026Article
- Safety and feasibility of one-stage neonatal approach for short-segment Hirschsprung's disease.PloS one · 2026Article
- Initial adaptation and surgical performance of the hinotori™ robotic system among pediatric surgeons with minimal robotic exposure.Pediatric surgery international · 2025Article
- A Narrative Review of the Evolving Role of Robotic Surgery in Pediatrics: Innovations and Future Prospects.Cureus · 2025Review
- Robotic Approach to Paediatric Gastrointestinal Diseases: A Systematic Review.Children (Basel, Switzerland) · 2024Review
- Cost-effectiveness analysis of robot-assisted laparoscopic surgery for complex pediatric surgical conditions.Surgical endoscopy · 2023Article
- Narrative review: robotic pediatric surgery-current status and future perspectives.Translational pediatrics · 2023Review
- Comparation of robotic-assisted surgery and laparoscopic‑assisted surgery in children with Hirschsprung's disease: a single-centered retrospective study.BMC surgery · 2023Article
- Robotic-assisted proctosigmoidectomy for Hirschsprung's disease: A multicenter prospective study.World journal of gastroenterology · 2023Article
- Robotic surgery in Hirschsprung disease: a unicentric experience on 31 procedures.Journal of robotic surgery · 2023Article
- Robotic-assisted surgery in the pediatric surgeons' world: Current situation and future prospectives.Frontiers in pediatrics · 2023Review
- Robotically Assisted Surgery in Children-A Perspective.Children (Basel, Switzerland) · 2022Review
- Robotic Soave pull-through procedure for Hirschsprung's disease in children under 12-months: long-term outcomes.Pediatric surgery international · 2022Observational
- Application and prospects of robotic surgery in children: a scoping review.World journal of pediatric surgery · 2022Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Robotic surgery offers three-dimensional visualization and precision of movement that could be of great value to gastrointestinal surgeons. There were many previous reports on robotic technology in performing Soave colonic resection and pull-through for Hirschsprung's disease in children. This study described the follow-up of the Robotic-assisted Soave procedure for Hirschsprung's disease in children. Robotic-assisted endorectal pull-through was performed using three robotic arms and an additional 5-mm trocar. The ganglionic and aganglionic segments were initially identified by seromuscular biopsies. The rest of the procedure was carried out according to the Soave procedure. We left a short rectal seromuscular sleeve of 1.5-2 cm above the dentate line. From December 2014 to December 2017, 55 pediatric patients were operated on. Age ranged from 6 months to 10 years old (median = 24.5 months). The aganglionic segment was located in the rectum (n = 38), the sigmoid colon (n = 13), and the left colon (n = 4). The mean total operative time was 93.2 ± 35 min (ranging from 80 to 180 min). Minimal blood was lost during the surgery. During the follow-up period, 41 patients (74.6%) had 1-2 defecations per day, 12 patients (21.8%) had 3-4 defecations per day, and 2 patients (3.6%) had more than 4 defecations per day. Fecal incontinence, enterocolitis, and mild soiling occurred in three (5.4%), four (7.3%), and two pediatric patients, respectively. Robotic-assisted Soave procedure for Hirschsprung's disease in children is a safe and effective technique. However, a skilled robotic surgical team and procedural modifications are needed.
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