A comparison of robotic surgery in children weighing above and below 15.0 kg: size does not affect surgery success.

Background: Initial results in pediatric surgery are encouraging, particularly in the field of pediatric urology. However, there is limited experience with its application in infants and neonates. The aim of this study was to compare the feasibility and safety of robotic-assisted surgery in two populations of children, one weighing less and one weighing more than 15.

Assessment of paediatric thoracic robotic surgery.

Objectives: Many studies have reported that robotic-assisted surgery is safe and feasible for paediatric cases. However, very few paediatric thoracic robotic cases have been described. The aim of this study was to share our preliminary experience with robot-assisted thoracic surgery (RATS).

How to successfully implement a robotic pediatric surgery program: lessons learned after 96 procedures.

Background: Both our teams were the first to implement pediatric robotic surgery in France. The aim of this study was to define the key points we brought to light so other pediatric teams that want to set up a robotic surgery program will benefit.

Methods: We reviewed the medical records of all children who underwent robotic surgery between Nov 2007 and June 2011 in both departments, including patient data, installation and changes, operative time, hospital stay, intraoperative complications, and postoperative outcome.

[Failures of endoscopic treatment of vesico-ureteric reflux in children using Macroplastique].

Introduction: Macroplastique has been used since 1993 for the endoscopic treatment of vesico-ureteric reflux in children with a failure rate per injected ureteric unit of 21%. The objective of this study was to analyse these failures on the basis of endoscopic findings on injection, ultrasound data at 2 months post-endoscopy and operative findings during the secondary reimplantation.

Material And Methods: The authors retrospectively reviewed cases of failure of Macroplastique treatment from September 1993 to December 2002.

[Endoscopic treatment of vesicoureteric reflux (VUR) in children: results of 9 years of use of Macroplastique (polydimethylsiloxane)].

Objective: Since 1993, the authors have used a Macroplastique (polydimethylsiloxane) implant for the endoscopic treatment of vesicoureteric reflux (VUR) in children instead of Teflon (polytetrafluoroethylene). They report their results after 9 years of use of Macroplastique and analyse their failures.

Material And Methods: 477 children with 669 refluxing ureters, classified as grade I reflux in 96 cases (14%), grade II reflux in 435 cases (65%), grade III reflux in 125 cases (19%), and grade IV reflux in 13 cases (2%), were treated at Tours University Hospital by the same surgeon, by injection of 0.

[Urethroplasty and separation of the corpora cavernosa for hypospadias repair].

Hypospadias is a frequent malformation and its treatment is not devoid of complications, particularly fistulas. The authors describe the department's surgical technique (modified Duplay technique). Urethroplasty is no longer performed by simple approximation of the urethral plate without dissection.