Robot-assisted Single-port Multi-channel Laparoscopic Technique:Application of Modified Three-port Method in Radical Surgery for Choledochal Cyst in Children
10.3969/j.issn.1009-6604.2025.05.004
- VernacularTitle:机器人辅助单孔多通道腹腔镜手术:改良三孔法在小儿胆总管囊肿根治术中的应用
- Author:
Ruoyi SHI
1
;
Xiaohui WANG
1
;
Shufeng ZHANG
1
Author Information
1. 郑州大学人民医院 河南省人民医院小儿外科,郑州 450003
- Publication Type:Journal Article
- Keywords:
Congenital choledochal cyst;
Robotic-assisted laparoscopy;
Single-port multi-channel device;
Modified three-port method
- From:
Chinese Journal of Minimally Invasive Surgery
2025;25(5):275-281
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore application effect of modified three-port robotic-assisted single-port multi-channel laparoscopic surgery in radical operation for choledochal cysts in children.Methods From March 2022 to June 2024,20 children with congenital choledochal cysts in our department underwent modified three-port robotic-assisted radical resection of choledochal cysts combined with Roux-en-Y anastomosis of the hepatic duct and jejunum.A single-port multi-channel laparoscopic device was inserted through an umbilical incision,and 8 mm trocars were respectively inserted under the right and left costal margins for robotic arm operation.Before the robot docking,the jejunum-jejunum anastomosis was completed outside the body through the umbilical single-port device.After docking,operations of cyst resection and anastomosis and reconstruction of the hepatic duct and jejunum were completed under the robotic laparoscope.Results The operations of 20 children were successfully completed without conversion to open surgery or intraoperative blood transfusion.The operation time was(269.8±23.3)min,the robotic operation time was(123.8±11.1)min,and the intraoperative blood loss was(8.3±3.9)ml.The postoperative exhaust time was(30.8±9.8)h,the abdominal drainage tube was removed at 5-6 d after operation,and the postoperative hospital stay was 7-8 d.On the 7th day after surgery,10 out of 11 children with elevated preoperative liver function transaminase(ALT and AST)levels decreased to normal,while 4 out of 6 children with elevated preoperative bilirubin(TBIL,DBIL,and IBIL)levels returned to normal.Abdominal ultrasound showed no anastomotic stenosis,cholangitis,or other serious complications during follow-ups for 3-6 months in the 20 children.Conclusion The robotic-assisted single-port multi-channel laparoscopic surgery(modified three-port method)is safe and feasible for the treatment of choledochal cysts in children.
