Robotic-assisted pull-through procedures for anorectal malformation: a systematic review
Topic overview
This systematic review evaluates robotic-assisted pull-through procedures for anorectal malformation in 33 pediatric cases, finding the approach feasible and safe with advantages in visualization and precision. Key challenges include prolonged operative time (mean 229 minutes) and cost, though outcomes were comparable to laparoscopic techniques with low complication rates.
Key takeaways
- Robotic-assisted anorectoplasty (RAARP) is feasible and safe for anorectal malformations in infants as young as 3 months in experienced hands.
- Robotic magnification and endo-wrist technology enable precise fistula dissection and ligation, following the same principles as laparoscopic repair.
- Mean operative time is 228.7 minutes with 7-day hospital stay; prolonged duration and cost remain key limitations to address.
- Complications include pelvic abscess, epididymo-orchitis, and stricture; most cases reported are in males from US and Saudi Arabia centers.
- Centralization to high-volume centers and enhanced surgeon training can mitigate cost concerns and reduce operative time for RAARP.
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How to cite: GlobalCastMD. Robotic-assisted pull-through procedures for anorectal malformation: a systematic review. GlobalCastMD Medical Library. 2024-07-16. https://dev.library.globalcastmd.com/article/8879?via_space=staycurrentmd
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