Robot-assisted resection of choledochal cyst in neonates

Laparoscopic choledochectomy and hepatojejunostomy have been reported in children since 1995, but this procedure is technically demanding. Robotic surgical systems can simplify complex minimally invasive procedures. Currently, few reports have been made on neonates. We present the experience of 6 ca...

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Bibliographic Details
Published in:BMC pediatrics 2024-07, Vol.24 (1), p.473-6, Article 473
Main Authors: Chen, Sai, Gao, Zhigang, Chen, Qingjiang, Qian, Yunzhong
Format: Article
Language:English
Subjects:
Abdomen
Bile ducts
Birth weight
Care and treatment
Children & youth
Choledochal cyst
Choledochal Cyst - surgery
Cystectomy
Cysts
Diseases
Female
Gallbladder
Hepatojejunostomy
Hospitals
Humans
Infant, Newborn
Infants (Newborn)
Jejunostomy - methods
Laparoscopy
Laparoscopy - methods
Ligaments
Male
Methods
Neonate
Newborn babies
Patients
Pediatric research
Pediatrics
Retrospective Studies
Robotic
Robotic surgery
Robotic Surgical Procedures - methods
Small intestine
Treatment Outcome
Ultrasonic imaging
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Summary:Laparoscopic choledochectomy and hepatojejunostomy have been reported in children since 1995, but this procedure is technically demanding. Robotic surgical systems can simplify complex minimally invasive procedures. Currently, few reports have been made on neonates. We present the experience of 6 cases of neonatal CC(choledochal cysts). Between January 2022 and December 2023, 6 neonates underwent robotic resection of choledochal cyst and hepaticojejunostomy using the Da Vinci surgical system at Children's Hospital, Zhejiang University School of Medicine, a high-volume hepatobiliary disease center. demographic data of the patients and surgical outcomes were collected and analyzed. All 6 patients were successfully treated by robotic cystectomy and hepaticojejunostomy. The mean age was 17.3 days (range 4-25) and the mean weight was 3.6 kg (range 2.55-4.4). 5 cysts were type Ia and 1 was type Iva. The mean diameter of the cysts was 3.8 cm (range 1.25-5). The mean time to establish feeding was 4.83 days (range 4-6), and patients were discharged after a median time of 16.83 days (range 7-42) without postoperative complications. This procedure is safe and effective for neonates. The authors found that the use of robot-assisted surgery has ergonomic advantages in this delicate, minimally invasive procedure.
ISSN:1471-2431
1471-2431
DOI:10.1186/s12887-024-04942-5