Robotic-Assisted Urologic Surgery in Infants: Positioning, Trocar Placement, and Physiological Considerations.

Pediatric robotic-assisted laparoscopic procedures are becoming increasingly common. They have been shown to be safe in younger patients, including infants. Successful adoption of robotic-assisted surgery in infants requires an understanding of the technical factors unique to this patient population. This review will delineate the specific considerations to safely perform robotic-assisted laparoscopic procedures in infants, including physiological changes associated with pneumoperitoneum in infants, positioning, trocar placement, and docking.

Frontiers in pediatrics. 2019 Jan 07*** epublish ***

Soo Jeong Kim, John S Barlog, Ardavan Akhavan

Institute for Pediatric Urology, Komansky Children's Hospital, New York Presbyterian-Weill Cornell, New York, NY, United States., SUNY Downstate Medical Center, Brooklyn, NY, United States.