Robotic-assisted surgery for pediatric choledochal cyst: Case report and literature review
| Autor: | Wang Zhendong, Zheng Wang, Di-Xiang Chen, Jing Xu, Shu-Juan Xu, Yuan-Hong Xiao, Wang Xianqiang |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Laparoscopic surgery
medicine.medical_specialty Choledochocystectomy medicine.medical_treatment Case Report Anastomosis Pediatrics 03 medical and health sciences 0302 clinical medicine medicine Robotic surgery Choledochal cysts medicine.diagnostic_test business.industry Wound dehiscence Biliary fistula General Medicine Robotic assisted surgery medicine.disease Endoscopy Surgery Congenital choledochal cysts 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology business |
| Zdroj: | World Journal of Clinical Cases |
| ISSN: | 2307-8960 |
| DOI: | 10.12998/wjcc.v6.i7.143 |
| Popis: | Our paper describes the key surgical points of pediatric choledochocystectomy performed completely by Da Vinci robotic system. A choledochocystectomy was safely carried out for a girl at our hospital, and without any complication. Then systematic literature review was done to discuss the methods of intestine surgery and intestinal anastomosis, the use of 3rd robotic arm, the surgical safety and advantages comparing open and laparoscopic surgery. We systematically reviewed choledochocystectomy for children performed by robotic surgery. We included a total of eight domestic and foreign reports and included a total of 86 patients, whose average age was 6.3 (0.3-15.9) years; the male-to-female ratio was 1:3.5 (19:67). Seven patients experienced conversion to open surgery, and the surgery success rate was 91.9% (79/86). The average total operation time was 426 (180-520) min, the operation time on the machine was 302 (120-418) min, 11 cases used the number 3 arm, and the remaining mainly used the hitch-stitch technique to suspend the stomach wall and liver. Forty-seven patients underwent pull-through intestine and intestinal anastomosis, and 39 patients underwent complete robotic intestine surgery and intestinal anastomosis. The hospitalization time of robotic-assisted choledochocystectomy was 8.8 d. Eight patients had biliary fistula and were all cured by conservative treatment and continuous observation. One patient had anastomotic stenosis, and one patient had wound dehiscence, both cured by surgery. Choledochocystectomy for children performed by completely robotic surgery and Roux-en-Y hepaticojejunostomy is safe and feasible. The initial experience shows that this surgical approach has a clearer field than the traditional endoscopy, and its operation is more flexible, the surgery is more accurate, and the injury is smaller. With the advancement of technology and the accumulation of surgeons’ experience, robotic surgery may become a new trend in this surgical procedure. |
| Databáze: | OpenAIRE |
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