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Robot-assisted resection of choledochal cyst in children
BACKGROUND: The emergence of the robotic surgery system has assisted the further development of minimally invasive surgery by facilitating more delicate and precise complex procedures. The purpose of this study was to present a study of robot-assisted resection of the choledochal cyst and to discuss...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10315571/ https://www.ncbi.nlm.nih.gov/pubmed/37404555 http://dx.doi.org/10.3389/fped.2023.1162236 |
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author | Jin, Yi Zhang, Shuhao Cai, Duote Zhang, Yuebin Luo, Wenjuan Chen, Ken Chen, Qingjiang Gao, Zhigang |
author_facet | Jin, Yi Zhang, Shuhao Cai, Duote Zhang, Yuebin Luo, Wenjuan Chen, Ken Chen, Qingjiang Gao, Zhigang |
author_sort | Jin, Yi |
collection | PubMed |
description | BACKGROUND: The emergence of the robotic surgery system has assisted the further development of minimally invasive surgery by facilitating more delicate and precise complex procedures. The purpose of this study was to present a study of robot-assisted resection of the choledochal cyst and to discuss the technical points. METHODS: In total, 133 patients who were diagnosed with a choledochal cyst and underwent surgery from April 2020 to February 2022 in the Children's Hospital, Zhejiang University School of Medicine, were retrospectively analyzed. The data were collected including the clinical information of the patients, operative details, and postoperative outcomes. RESULTS: Among these 133 patients, 99 underwent robot-assisted surgery and 34 underwent laparoscopic assisted surgery. The median operation time was 180 min, with an interquartile range (IQR) of 170–210 min for the robot-assisted group and 180 min with an IQR of 157.5–220 min in the laparoscopic assisted group (P = 0.290). The detection rate of 82.5% for the distal opening of the cystic type of choledochal cyst was higher in the robot-assisted group than that in the laparoscopic assisted group at 34.8% (P = 0.000). The postoperative hospital stay was shorter (P = 0.009) and the hospitalization expense was higher (P = 0.000) in the robot-assisted group than that of the laparoscopic assisted group. There was no significant difference between the two groups in terms of complications, postoperative indwelling days of the abdominal drainage tube, intraoperative blood loss, and postoperative fasting time (P > 0.05). CONCLUSIONS: Robot-assisted resection of choledochal cyst is safe and feasible, it is ideal for the patient requiring a meticulous operation, and its postoperative recovery was shorter than for traditional laparoscopy. |
format | Online Article Text |
id | pubmed-10315571 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-103155712023-07-04 Robot-assisted resection of choledochal cyst in children Jin, Yi Zhang, Shuhao Cai, Duote Zhang, Yuebin Luo, Wenjuan Chen, Ken Chen, Qingjiang Gao, Zhigang Front Pediatr Pediatrics BACKGROUND: The emergence of the robotic surgery system has assisted the further development of minimally invasive surgery by facilitating more delicate and precise complex procedures. The purpose of this study was to present a study of robot-assisted resection of the choledochal cyst and to discuss the technical points. METHODS: In total, 133 patients who were diagnosed with a choledochal cyst and underwent surgery from April 2020 to February 2022 in the Children's Hospital, Zhejiang University School of Medicine, were retrospectively analyzed. The data were collected including the clinical information of the patients, operative details, and postoperative outcomes. RESULTS: Among these 133 patients, 99 underwent robot-assisted surgery and 34 underwent laparoscopic assisted surgery. The median operation time was 180 min, with an interquartile range (IQR) of 170–210 min for the robot-assisted group and 180 min with an IQR of 157.5–220 min in the laparoscopic assisted group (P = 0.290). The detection rate of 82.5% for the distal opening of the cystic type of choledochal cyst was higher in the robot-assisted group than that in the laparoscopic assisted group at 34.8% (P = 0.000). The postoperative hospital stay was shorter (P = 0.009) and the hospitalization expense was higher (P = 0.000) in the robot-assisted group than that of the laparoscopic assisted group. There was no significant difference between the two groups in terms of complications, postoperative indwelling days of the abdominal drainage tube, intraoperative blood loss, and postoperative fasting time (P > 0.05). CONCLUSIONS: Robot-assisted resection of choledochal cyst is safe and feasible, it is ideal for the patient requiring a meticulous operation, and its postoperative recovery was shorter than for traditional laparoscopy. Frontiers Media S.A. 2023-06-19 /pmc/articles/PMC10315571/ /pubmed/37404555 http://dx.doi.org/10.3389/fped.2023.1162236 Text en © 2023 Jin, Zhang, Cai, Zhang, Luo, Chen, Chen and Gao. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Pediatrics Jin, Yi Zhang, Shuhao Cai, Duote Zhang, Yuebin Luo, Wenjuan Chen, Ken Chen, Qingjiang Gao, Zhigang Robot-assisted resection of choledochal cyst in children |
title | Robot-assisted resection of choledochal cyst in children |
title_full | Robot-assisted resection of choledochal cyst in children |
title_fullStr | Robot-assisted resection of choledochal cyst in children |
title_full_unstemmed | Robot-assisted resection of choledochal cyst in children |
title_short | Robot-assisted resection of choledochal cyst in children |
title_sort | robot-assisted resection of choledochal cyst in children |
topic | Pediatrics |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10315571/ https://www.ncbi.nlm.nih.gov/pubmed/37404555 http://dx.doi.org/10.3389/fped.2023.1162236 |
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