Jin Yi,Chen Qingjiang,Zhang Yuebin,et al.Comparative study of Da Vinci technique versus traditional laparoscopy in the treatment of intestinal duplication[J].Journal of Clinical Pediatric Surgery,,21():632-636.[doi:10.3760/cma.j.cn101785-202204005-007]
Comparative study of Da Vinci technique versus traditional laparoscopy in the treatment of intestinal duplication
- Keywords:
- Digestive System Abnormalities/SU; Intestines/SU; Mini-Invasive Surgical Procedures; Robotic Surgical Procedures; Laparoscopy
- Abstract:
- Objective To compare the application outcomes of Da Vinci robot versus traditional laparoscope in the resection of intestinal duplication in children.Methods Between April 2020 and December 2021, retrospective review was conducted for 44 children of intestinal duplication undergoing surgery.They were divided into two groups of robot surgery (n=14) and laparoscopic-assisted surgery (n=30).The relevant clinical data of operative duration, postoperative fasting time, postoperative hospital stay and hospitalization expenses were compared between two groups.Results The operative durations of robot surgery and laparoscopic-assisted surgery groups were[(85.57±18.88) vs.(84.33±19.82) min].There was no significant inter-group statistical difference (t=0.196, P=0.846).Intestinal duplication was completely peeled off by endoscope in robot surgery group, intestinal integrity was preserved and intestinal resection and anastomosis were not required.Postoperative fasting time was 3 (2, 3.25) versus 4 (4, 5) days and the difference was statistically significant (Z=-3.493, P=<0.001).The postoperative length of hospital stay was 6(4.75, 6.25) days in robot operation group and 7.5(6, 10) days in laparoscopic-assisted operation group (Z=-3.679, P<0.001).And hospitalization expenses was 64000 yuan in Da Vinci operation group and 17000 yuan in laparoscopic-assisted operation group (Z=-5.292, P<0.001).Conclusion Da Vinci robot resection of intestinal duplication is both safe and feasible in children.Its preciseness is much better than that of conventional laparoscopy so that patients may recover faster after operation.
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Memo
收稿日期:2022-04-02。
基金项目:浙江省卫生健康科技计划（2022RC201）
通讯作者:高志刚,Email:ebwk@zju.edu.cn