Publications by authors named "M Satomi"
The advantage of robot-assisted surgery (RAS) is its ability to perform fine surgical operations with higher-resolution images. RAS should be particularly beneficial for small children, but it requires a certain amount of working space. The da Vinci Surgical System instructions state that careful consideration of indications for robotic surgery in patients weighing ≤ 10 kg is required.
View Article and Find Full Text PDFBackground/purpose: We evaluated the minimally invasive surgery for congenital biliary dilatation (CBD) in adults and children and analyzed the surgical outcomes, especially in children aged <6 years.
Methods: Characteristics and surgical outcomes of patients with CBD who underwent minimally invasive surgery at our hospital between 2013 and 2023 were retrospectively reviewed.
Results: Overall, 129 patients (89 children aged <6 years, 9 children aged between 6 and 18 years, and 21 adults) were included in this study.
Article Synopsis
- The Senhance robotic system is a new surgical robot that shows promise as a safe and effective alternative to the da Vinci system, especially for pediatric surgeries.
- A case series involving three children underwent anorectoplasties and rectal surgery using this robotic system, with no complications reported during or after the procedures.
- The advantages of Senhance include high-quality 3D imaging, reduced tremor in tool movements, and the use of smaller 3-mm instruments, making it particularly suitable for delicate surgeries in children.
Article Synopsis
- * Out of 97 patients, 29 were excluded, leaving 48 living with their native liver and 20 who received transplants after one year, with bile lake identified as the strongest risk factor for liver transplant.
- * The findings suggest that bile lake can lead to serious complications, highlighting its significance as a risk factor for those with biliary atresia who maintain their native liver for a year post-surgery.
Article Synopsis
- The study assesses the effectiveness of thoracoscopic primary repair for esophageal atresia with tracheoesophageal fistula in newborns, specifically focusing on patients weighing less than 2000 g and those undergoing emergency surgery on their birth day.
- A total of 43 patients were analyzed, revealing that surgical outcomes were similar regardless of weight, but those who had surgery at birth had a higher incidence of anastomotic leakage compared to those operated on after one day.
- The findings suggest that while thoracoscopic primary repair is generally safe for low-weight newborns, caution is advised for those needing emergency surgery at 0 days due to the increased risk of complications.