Pope John XXIII, performed the first two procedures on children with robotic surgery

That’s colon surgery for Hirschsprung’s disease there first robot-assisted surgery performed at Bergamo Hospital on a pediatric patient, only 10 years old. The second intervention, performed it a three-year-old girlpermitted removal of a thoracic neoplasm. The two operations were performed in the months of June and July 2022.

There Hirschsprung’s disease or congenital aganglionic megacolonit is a rare condition that requires one complex surgical operation in several stages, including a delicate surgical removal of the terminal part of the colon and rectum, devoid of nerve cells and therefore diseased. This was the phase performed for the first time in Bergamo on a ten-year-old patient using the robot.

In the case of the second operation, the traditional approach would have required a large surgical incision and technical difficulties. The use of the robot allowed a quick and safe removal of the thoracic neoplasm, but above all radical, also thanks to the optical magnification (the so-called ‘magnification’) of images allowed by the robot system. Finally, only minimal surgical incisions that will not leave traces over time. An advantage from a psychological point of view for the child and his family.

The pediatric surgical team by Pope John, directed by Maurizio Cheliperformed the two procedures under the guidance of Gaslini from Genoa, with whom there is a close mutual collaboration on digestive and hepatological surgery.

The technological innovation that the robot represents is an evolution of the minimally invasive surgical technique that we are introducing as an additional option to treat some pediatric diseases and deformities for which we are a reference center. – have explained Chely -.The optical magnification and the detail possibilities of the monitor with three-dimensional vision, as well as the infinite movement possibilities of the instruments, provide considerable assistance to the surgeon, which translates into greater safety for the patient. For children, the use of robots can represent an opportunity for a quick return to school and sports activities. Thanks to less extensive incisions, the postoperative course is actually less painful and faster, just as the functional recovery of the organs involved in the operation is in some cases faster”.

That robotic surgery program is planned and coordinated by Luigi From Pozzoprofessor of urology at the University of Milan Bicocca and director of the surgical department of Pope John XXIII, who makes a balance sheet for the first half of the year: “There are 170 interventions with the robot in the first half of 2022. Taking the weekends into account, the rate of use of the robot in practice is 4 interventions every 3 days. We are well beyond the regional guidelines, which set the minimum number of procedures to be performed with the robot delivered to each hospital at 250”.

The extension of the use of the robot to a interdisciplinary use, that is, for the treatment of pathologies belonging to different medical-surgical disciplines, in accordance with the indications in Lombardy. For years, also thanks to a period of using the robot to share and in alternating periods with another Lombard hospital, Pope John has been treated both prostate and kidney cancer from Urology are some tumors in the uterus, including the endometrium, from Gynecology. With the arrival, in November 2020, of the new robot delivered exclusively to Pope John, the removal procedures from colon cancerof the abdominal and thoracic surgery team 1. There Pediatric surgery represents the fourth line of development of the program.

“Making robotic surgery available to pediatric patients allows us to offer pediatric patients the most advanced surgical techniques and to anticipate future clinical guidelines in this area. – commented Maria Beatrice StasiGeneral Director of ASST Pope John XXIII -. Pope John is a “widespread” pediatric hospital within the Hospital for All. We have all specialties to treat pediatric patients and for the surgical area alone we perform approximately 3,700 operations per year. We recently wanted to strengthen this strategic dimension by introducing homogeneous paths dedicated to children in the company’s organizational plan presented for the Lombardy region.

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