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November 06-07, 2019 | Tokyo, Japan
STEM CELLS AND REGENERATIVE MEDICINE
PEDIATRICS AND CHILD CARE
International Conference on
2nd World Congress on
&
Stem Cells 2019 & Pediatrics Congress 2019
November 06-07, 2019
Pediatric Robotic Surgery, experience and results of the first program in Mexico and
Latin America
Statement of the Problem: There have been few reports on robotic general pediatric surgery. So far, the largest number of
publications has been in the area of robotic urology. There is evidence that robotic surgery in children is safe. If conventional
laparoscopy is used, the reconstruction procedures are very challenging, whereas robotic surgery overcomes its limitations and
offers important advantages in complex surgeries. For example, the choledochal cysts have a incidence in the Asian population
of 1 in 1000, about two thirds of cases reported in Japan. The surgical treatment is extirpation of the cyst with bilioenteric
anastomosis in Roux-en-Y. I will emphasize this pathology, because robotic surgery is an excellent treatment alternative. More
than 70 different surgical techniques have been published in children. There is a scarcity of publications in Latin America and
our program is pioneer. The purpose to present the applications, share our experience and spread the robotic surgery in pediatric
patients.
Methodology & Theoretical Orientation: A prospective, observational and longitudinal study was conducted from March
2015 to April 2019, that involved all pediatric patients that was treated with robotic surgery. The parameters evaluated were 13.
I present the results of 256 procedures and 46 different robotic surgical techniques and in the discussion we compare our results
with publications on general pediatric robotic surgery.
Conclusion & Significance: A enormous variety of surgeries can be safely performed, including complex surgeries:
hepatobiliary, thoracic and tumor areas. It is important to offer children the advantages and safety of robotic surgery, it has been
accepted slowly for children. It is possible to implement an effective program of pediatric robotic surgery in which multiple
procedures are performed and with similar results to hospital centers in developed countries. It is very important to promote
surgery of the future.
Biography
Mario Navarrete Arellano is a pecialist in Medical Pediatrics and Pediatric Surgeon, 29 years of experience in pediatric surgery, open surgery
and conventional minimally invasive (thoraco-laparoscopy) and in the last 4 years has developed the expertise in robotic surgery (more than
200 procedures), in a public hospital of third level of care and performing private practice. Graduate from the Escuela Médico Militar (1975-
1981) and Escuela Militar de Graduados de Sanidad (1982-1990), Universidad del Ejército y Fuerza Aérea Mexicanos. I hold the degree
General Brigadier Surgeon Medical. Hospital trajectory: Added Medical Doctor, Head of Service, Head of Department, Head of Division of
Pediatrics and Pediatric Surgery, Head of the External Assistence Area and Medical Subdirector in the Hospital Central Militar, Mexico City
(1990-2018). Profesor and Chief of Courses of Pre and Postgraduate of Medical Pediatric and Pediatric Surgery, Escuela Médico Militar and
Escuela Militar de Graduados de Sanidad, Universidad del Ejército y Fuerza Aérea (1985-2009). Mexico City. Advisor in 10 Works of Re-
search (Thesis of Degree). More than 50 Publications in Medical Journals of the Specialty and Author or co-author of 4 Chapters in specialty
books. Speaker or Profesor in more than 200 academic events, national or international. Member of 10 Societies, Associations, College and
Academy National and International.
Mario Navarrete Arellano
Hospital Central Militar, Mexico
Journal of Child and Adolescent Psychiatry Volume 03
J Child Adolesc Psych, Volume 03