Pediatric INSIGHTS
Spring 2013
Continued on page 6
Robotic Surgery
As robotic surgical technology has advanced, it's becomemore
suited to use in the pediatric population. The surgeons in the divisions
of Pediatric Urology and of Pediatric General andThoracic Surgery at
Children's Hospital are the primary users of robotic surgical technology
at Children's. For a list of the conditions for which our urologic
surgeons use robotic surgical technology,
Single-Port Laparoscopic Surgeries
Our pediatric general and thoracic surgeons have trained
extensively in pediatric single-port surgery. This type of surgery,
virtually scarless because of the incision's placement within the
belly button, can be done with or without the daVinci robot.
Common procedures include splenectomy, appendectomy,
Nissen fundoplication, iliostomy, and bowel resection.
Minimally Invasive Brain Surgery
Physicians at UPMC pioneered minimally invasive brain surgeries
in adults. The endoscopic endonasal approach, or EEA, can
be used to remove brain tumors through the nose and nasal
passages. Neuroendoport surgery, which was developed at
UPMC, uses a small tube the circumference of a dime to remove
tumors that are located deep in the brain.
Both these techniques were modified for application
in pediatric patients by specialists at Children’s Hospital of
Pittsburgh of UPMC. In addition, endoscopic intraventricular
surgery allows surgeons to directly treat an obstruction to
the normal flow of cerebrospinal fluid circulation (endoscopic
cyst fenestration) and/or to bypass the area of obstruction
(endoscopic third ventriculostomy, endoscopic septostomy) in
order to treat hydrocephalus in children.
Study Reveals Success Rate of Minimally Invasive Surgical
Approach in Infants
Michael Ost, MD
, chief, Division of
Pediatric Urology (left), is the senior
investigator on a study that showed
transperitoneal laparoscopic pyeloplasty
for ureteropelvic junction (UPJ)
obstruction is a safe alternative to open
pyeloplasty in infants.
UPJ obstruction is the most common obstructive urinary system
disease in infants. The minimally invasive approach to pyeloplasty,
which can be done with robot assistance, has emerged as a safe,
effective alternative to standard open pyeloplasty. “This population
can be challenging to treat laparascopically because of the small size
of the abdomen and caliber of the ureter,”Dr. Ost says.
Dr. Cannon positions the daVinci prior to surgery.
As Dr. Cannon (left) operates using the daVinci, a fellow
(right) observes through use of the system’s second consol.
During the operation, Dr. Cannon (at right in the
background) controls the daVinci’s movements through use of
one of the system’s two consols.
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