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Children
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Advances in Pediatric Surgery Volume II
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Special Issue "Advances in Pediatric Surgery Volume II"

A special issue of Children (ISSN 2227-9067). This special issue belongs to the section "Pediatric Surgery".

Deadline for manuscript submissions: 20 January 2024 | Viewed by 781

Special Issue Editors

Prof. Dr. Giovanni Cobellis

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Guest Editor
Department of Pediatric Surgery, University Politecnica of Marche, Ospedale Pediatrico G. Salesi, AOU delle Marche, Via Filippo Corridoni, 11, 60123 Ancona, AN, Italy
Interests: pediatric surgery; laparoscopic surgery; robot-assisted surgery
Special Issues, Collections and Topics in MDPI journals
Dr. Edoardo Bindi

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Guest Editor
Department of Odontostomatologic and Specialized Clinical Sciences (DISCO), Marche Polytechnic University, Pediatric Surgery Unit Salesi Children’s Hospital, 60121 Ancona, AN, Italy
Interests: minimally invasive surgery; thoracic surgery; pediatric urology; robot-assisted surgery
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Of all surgical specialties, pediatric surgery is one that has perhaps evolved the most in a shorter period of time compared to the others. Since the first laparoscopic CDH repair by van der Zee (1995), surgical techniques have undergone continuous improvements, achieving goals that were unimaginable a few years ago, such as performing robot-assisted surgical procedures on patients under the age of one. In addition, other types of technological innovations have come to the aid of pediatric surgeons, such as rendering programs that have facilitated not only the planning of more complex operations, but have also made it easier to create simulations for the training of younger surgeons. In this Special Issue, we want to focus on the most important advances in pediatric surgery that have allowed us to achieve better outcomes, both in the surgical approaches and the training of pediatric surgeons.

As the Guest Editors of this Special Issue, we hope that this will be an opportunity to share experiences that you consider most useful and significant in this area of pediatric surgery.

Dr. Giovanni Cobellis
Dr. Edoardo Bindi
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Children is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2400 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • minimally invasive surgery
  • laparoscopic surgery
  • laparoscopic neonatal surgery
  • thoracoscopic surgery
  • robot-assisted surgery
  • training program
  • learning curve
  • simulation
  • surgical devices

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Published Papers (1 paper)

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Research

11 pages, 1749 KiB  
Article
Pyeloplasty in Children with Ureteropelvic Junction Obstruction and Associated Kidney Anomalies: Can a Robotic Approach Make Surgery Easier?
by
Giovanni Cobellis
and
Edoardo Bindi
Children 2023, 10(9), 1448; https://doi.org/10.3390/children10091448 - 25 Aug 2023
Viewed by 654
Abstract
Background: Robot-assisted pyeloplasty is widely used in pediatric surgery because of its well-known advantages over open or laparoscopic surgery. The aim is to explore our experience and evaluate the achievements we have made. Methods: We evaluated patients undergoing robotic pyeloplasty from January 2016 [...] Read more.
Background: Robot-assisted pyeloplasty is widely used in pediatric surgery because of its well-known advantages over open or laparoscopic surgery. The aim is to explore our experience and evaluate the achievements we have made. Methods: We evaluated patients undergoing robotic pyeloplasty from January 2016 to November 2021, including those who presented with a ureteropelvic junction obstruction associated with other anomalies of the kidney. The parameters examined were: age, weight, associated renal malformations, conversion rate, operative time, and intra- and postoperative complications. Results: Of 39 patients, 7 (20%) were included, of whom 5 (71%) were male and 2 (29%) were female. The mean age at surgery was 84 months (range 36–180 months), and the mean weight at surgery was 24.4 kg (range 11–40 kg). In five (71%) patients the ureteropelvic junction obstruction (UPJO) was left-sided and in two (29%) it was right-sided. In four (57%) cases, UPJO was associated with a horseshoe kidney, right-sided in one (25%) patient, and left-sided in the other three (75%). A 180° rotation of the kidney was present in one (14%) patient. Nephrolithiasis was present in two (29%) patients. The mean operative time was 160 min (range 140–240 min). The average bladder catheter dwell time was 1 day (range 2–3 days), while the average abdominal drainage dwell time was 2 days (range 2–4 days). The mean hospitalization time was 4 days (range 3–9 days). On average, after 45 days (range 30–65) the JJ ureteral stent was removed cystoscopically. No intraoperative complications were reported, while one case of persistent macrohematuria with anemia requiring blood transfusion occurred postoperatively. Conclusions: Ureteropelvic junction obstruction might be associated with other congenital urinary tract anomalies such as a duplicated collecting system, horseshoe kidney, or pelvic kidney. These kinds of malformations can complicate surgery and require more attention and accuracy from the surgeon. Our experience shows that, with regards to the robotic learning curve required for pyeloplasty, the treatment of the ureteropelvic junction in these situations does not present insurmountable difficulties nor is burdened by complications. The application of robot-assisted surgery in pediatric urology makes difficult pyeloplasties easier. Full article
(This article belongs to the Special Issue Advances in Pediatric Surgery Volume II)
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