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How robotic-assisted surgery can decrease the risk of mucosal tear during Heller myotomy procedure?

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Abstract

We report the first description of robotic-assisted Heller myotomy in children. The purpose of this study was to improve the safety of Heller myotomy by demonstrating, in two adolescent patients, the contribution of the robot to the different steps of this procedure. Due to the robot’s freedom of movement and three-dimensional vision, there was an improvement in the accuracy, a gain in the safety regarding different key-points, decreasing the risk of mucosal perforation associated with this procedure.

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Acknowledgements

The authors thank the entire team of the nurses, operating room technicians and physicians for their dedicated work and R. Peymirat for his technical assistance in figures editing.

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Authors and Affiliations

  1. Service de chirurgie viscérale pédiatrique, Hôpital des Enfants, 8 avenue Dominique Larrey, 87042, Limoges Cedex, France

    Quentin Ballouhey, Nabil Dib, Véronique Carcauzon-Couvrat, Pauline Clermidi, Bernard Longis & Laurent Fourcade

  2. Service d’anesthésie pédiatrique, Hôpital des Enfants, 8 avenue Dominique Larrey, 87042, Limoges Cedex, France

    Jérôme Cros

  3. Service de pédiatrie, Hôpital des Enfants, 8 avenue Dominique Larrey, 87042, Limoges Cedex, France

    Jane Languepin

  4. Service de chirurgie viscérale pédiatrique, Hôpital de Clocheville, 49 boulevard Béranger, 37044, Tours Cedex, France

    Aurélien Binet & Hubert Lardy

Authors
  1. Quentin Ballouhey
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  2. Nabil Dib
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  3. Aurélien Binet
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  4. Véronique Carcauzon-Couvrat
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  5. Pauline Clermidi
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  6. Bernard Longis
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  7. Hubert Lardy
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  8. Jane Languepin
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  9. Jérôme Cros
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  10. Laurent Fourcade
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Corresponding author

Correspondence to Quentin Ballouhey.

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Conflict of interest

Q Ballouhey, N. Dib, A. Binet, J. Cros, V. Carcauzon Couvrat, P. Clermidi, H. Lardy, J. Languepin, B. longis and L. Fourcade declare that they have no conflict of interest.

Informed consent

Written informed consent was obtained from the patient for publication of this Case Report/any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.

Ethics

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000 (5). Informed consent was obtained from all patients for being included in the study.

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Ballouhey, Q., Dib, N., Binet, A. et al. How robotic-assisted surgery can decrease the risk of mucosal tear during Heller myotomy procedure?. J Robotic Surg 11, 255–258 (2017). https://doi.org/10.1007/s11701-016-0658-9

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  • DOI: https://doi.org/10.1007/s11701-016-0658-9

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