Retrospective Assessment of the Validity of Robotic Surgery in Comparison to Open Surgery for Pediatric Choledochal Cyst.
10.3349/ymj.2015.56.3.737
- Author:
Na Young KIM
1
;
Eun Young CHANG
;
Young Ju HONG
;
Simin PARK
;
Ha Yan KIM
;
Sun Joon BAI
;
Seok Joo HAN
Author Information
1. Department of Anesthesiology and Pain Medicine, Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, Korea. sjbai1@yuhs.ac
- Publication Type:Original Article ; Evaluation Studies
- Keywords:
Choledochal cyst;
robotic surgery;
children
- MeSH:
Age Distribution;
Aged, 80 and over;
Child;
Child, Preschool;
Choledochal Cyst/*surgery;
Female;
Humans;
Incidence;
Infant;
Length of Stay/statistics & numerical data;
Male;
Minimally Invasive Surgical Procedures/*methods;
Postoperative Complications/epidemiology;
Postoperative Period;
Prospective Studies;
Reproducibility of Results;
Retrospective Studies;
*Robotics;
Treatment Outcome
- From:Yonsei Medical Journal
2015;56(3):737-743
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: We evaluated the validity of robotic surgery (RS) for pediatric choledochal cyst (CC) in comparison to open surgery (OS). MATERIALS AND METHODS: From January 2009 to April 2013, clinical data from 79 consecutive pediatric patients with CC, who underwent RS (n=36) or OS (n=43) performed by a single pediatric surgeon, were analyzed retrospectively. RESULTS: In the RS group, the age of the patients was significantly older, compared to the OS group. Operation and anesthesia times were significantly longer in the RS group than the OS group. Fluid input rates to maintain the same urine output were significantly smaller in the RS group than the OS group. The American Society of Anesthesiologists (ASA) physical status, length of postoperative hospital stay, and the incidence of surgical complications did not differ significantly between the two groups. CONCLUSION: Although early complications could not be avoided during the development of robotic surgical techniques, RS for pediatric CC showed results comparable to those for OS. We believe that RS may be a valid and alternative surgery for pediatric CC. After further development of robotic surgical systems and advancement of surgical techniques therewith, future prospective studies may reveal more positive results.
