Wen Jieyu,Xie Xiaolong,Xiang Bo.Comparison study of total robotic versus conventional robot-assisted choledochal cyst resection in children[J].Journal of Clinical Pediatric Surgery,2025,(06):525-531.[doi:10.3760/cma.j.cn101785-202503083-005]
Comparison study of total robotic versus conventional robot-assisted choledochal cyst resection in children
- Keywords:
- Choledochal Cyst; Robotic Surgical Procedures; Robot Assisted Laparoscopic Surgery; Treatment Outcome; Intraoperative Complications; Postoperative Complications; Comparative Study
- Abstract:
- Objective To compare the efficacy and safety of total robot-assisted surgery (TRAS) and conventional robot-assisted surgery (CRAS) for choledochal cyst resection in children. Methods Clinical data of pediatric patients undergoing TRAS or CRAS for choledochal cysts at the Department of Pediatric Surgery,West China Hospital,Sichuan University,from January 2021 to June 2024 were retrospectively collected.Propensity score matching (PSM) was applied to control for confounding factors such as age and body mass index (BMI),allowing surgical approach to be only independent variable.Outcomes including operative time,intraoperative blood loss,conversion rate,postoperative gastrointestinal function recovery (time to first anal gas and defecation),length of hospital stay,and short-term (1 month) and long-term complication rates (6-month) postoperative complication rates were compared between groups. Results A total of 36 patients received TRAS (TRAS group),and 74 patients received CRAS (CRAS group).After PSM,22 matched cases from each group were included in the final analysis.No statistically significant differences were found in baseline characteristics between the two groups (P>0.05).Compared with the CRAS group,the TRAS group had significantly longer operative time [(238.36±50.37) min vs.(179.36±31.03) min,P<0.01],but shorter postoperative gastrointestinal recovery time[(3.95±1.00) days vs.(4.73±0.94) days,P<0.01] and shorter postoperative hospital stay[(7.50±1.19) days vs.(8.55±1.95) days,P=0.038],with all differences being statistically significant (P<0.05). Conclusions Both TRAS and CRAS are safe and effective surgical methods for treating choledochal cysts in children.Compared with CRAS,TRAS may accelerate postoperative gastrointestinal recovery and reduce hospital stay.
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Memo
收稿日期:2025-3-23。
基金项目:四川大学华西医院专职博士后基金(2024HXBH152)
通讯作者:向波,Email:xb_scu.edu@hotmail.com