Transumbilical single-port robotic-assisted laparoscopic surgery for congenital choledochal cysts in children
10.3760/cma.j.cn113884-20240927-00290
- VernacularTitle:经脐单孔机器人腹腔镜技术治疗儿童先天性胆总管囊肿
- Author:
Shan LIN
1
;
Yufeng HE
;
Jianglong CHEN
;
Guangxu YOU
;
Yuru ZHANG
;
Jingjing LU
;
Di XU
Author Information
1. 福州大学附属省立医院小儿外科，福州 350001
- Publication Type:Journal Article
- Keywords:
Child;
Single port;
Robotic-assisted;
Congenital choledochal cysts
- From:
Chinese Journal of Hepatobiliary Surgery
2025;31(8):592-596
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the efficacy of transumbilical single-port robotic-assisted laparoscopic surgery for congenital choledochal cysts in children.Methods:Clinical data of 13 children with congenital choledochal cysts undergoing surgery at the Provincial Hospital of Fuzhou University from January 2024 to June 2024 were retrospectively analyzed, including 4 males and 9 females, aged 48 (24, 60) months. All children underwent transumbilical single-port robotic-assisted laparoscopic radical resection of congenital choledochal cyst with common hepatic duct jejunum Roun-en-Y anastomosis by the same surgeon. The efficacy of this technique was evaluated by surgical safety indicators such as operation time and intra-operative blood loss, as well as indicators of the postoperative scar assessment scale (OSAS).Results:All surgeries were successfully performed without conversion to open surgery. The operation time was (200±22) min. The blood loss was (8.07±2.56) ml without intraoperative blood transfusion. The time to start water feeding was (2.76±0.83) d and the time to start liquid diet was (3.92±1.12) d. The postoperative hospital stay was (7.00±3.37) d and the postoperative follow-up time was (5.38±2.06) months. No postoperative complications such as bile reflux gastritis and cholangitis were seen in patients. No dilatation of the common hepatic duct or intrahepatic bile ducts were observed at three months postoperatively. There were good indicators of satisfaction with the appearance of wounds as assessed by OSAS.Conclusion:Transumbilical single-port robotic-assisted laparoscopic surgery could be safe and effective for congenital choledochal cysts in children.
