• Country: JAPAN
  • Official Title: Associate Professor
  • Department: Juntendo University Urayasu Hospital
  • Institute: Juntendo University School of Medicine
  • E-Mail: go@juntendo.ac.jp

Speech Title

The Current Status of Pediatric Robotic Arm Surgery in Japan and the Juntendo Experience 日本兒童機器人手臂手術現況及順天堂經驗

The da Vinci surgical system has specific features such as three dimensional high-definition vision, instruments with increased range of motion, tremor filtering and motion scaling, and ergonomic stress-free operation that would facilitate suturing during selected anastomoses in pediatric surgery.  Examples of such anastomoses in children to be presented are: 1. Hepaticojejunostomy performed with interrupted 5-0 or 6-0 absorbable sutures with a small diameter hepatic orifice less than 10 mm seen in small infants; 2. Two different non-dismembered pyeloplasties: diamond bypass and simple non-dismembered pyeloplasty in small infants, using micro-bipolar forceps and large suture-cut needle driver forceps.  Unfortunately, Japanese public health insurance coverage for da Vinci surgical system procedures in pediatric surgery is limited to only choledochal cyst repair, ureteropelvic junction obstruction repair, and mediastinal tumor resection.  With expanded insurance coverage, the da Vinci surgical system could be used for more procedures like in other countries where it is used widely.