Yang Binbin,Cai Duote,Zhu Yueling,et al.Application value of Da Vinci robot in one-stage radical resection for perforated choledochal cyst in children[J].Journal of Clinical Pediatric Surgery,,():238-242.[doi:10.3760/cma.j.cn101785-20251103-00038]
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Application value of Da Vinci robot in one-stage radical resection for perforated choledochal cyst in children

Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R] volume: Number: 2026 03 Page: 238-242 Column: 专题·胆总管囊肿 Date of publication: 2026-03-28
Author(s):
Yang Binbin1;  Cai Duote1;  Zhu Yueling2;  Chen Zhongyu3;  Chen Xiaoli1;  He Yuchen1;  Cheng Zehai1;  Chen Qingjiang1;  Gao Zhigang1
1. Department of General Surgery, Children’s Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Children and Adolescents’ Health and Diseases, Hangzhou 310052, China;
2. Department of Traditional Chinese Medicine, Children’s Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Children and Adolescents’ Health and Diseases, Hangzhou 310052, China;
3. Department of Radiology, Children’s Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Children and Adolescents’ Health and Diseases, Hangzhou 310052, China
Keywords:
Da Vinci Robotic Surgery; Choledochal Cyst Perforation; Primary Radical Resection; Child; Laparoscopy
DOI:
10.3760/cma.j.cn101785-20251103-00038
Abstract:
Objective To explore the application value of Da Vinci robotic surgery in one-stage radical resection for choledochal cyst perforation in children.Methods A retrospective analysis was conducted for the relevant clinical data of 23 children with choledochal cyst perforation at our hospital from January 2018 to June 2025.Based upon specific surgical approaches,they were assigned into two groups of Da Vinci robotic surgery and laparoscopy.Success rate of one-stage mini-invasive surgery,perioperative indicators,incidence of complications during hospitalization and follow-ups and hospitalization expenses were compared.Results The success rate of one-stage mini-invasive surgery was 100%(12/12) in Da Vinci group.It was significantly higher than 63.6%(7/11) in laparoscopic group with a statistically significant difference (P=0.037).Among 4 failed cases in laparoscopic group,2 were converted into open surgery due to severe inflammatory edema and adhesions for completing one-stage radical resection.Another two failed to complete one-stage radical resection and were converted into one-stage drainage after staged radical surgery.No significant inter-group differences existed in preoperative baseline profiles,operative duration,intraoperative volume of blood loss,postoperative fasting time,postoperative hospital stay or the incidence of complications during hospitalization and follow-ups. Conclusions For pediatric choledochal cyst perforation,using Da Vinci robot in one-stage radical surgery is both safe and feasible.It can significantly enhance the success rate of mini-invasive surgery without elevated surgical risks.

References:

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收稿日期:2025-11-3。
基金项目:浙江省"尖兵""领雁"研发攻关计划资助(2023C03029)
通讯作者:高志刚,Email:ebwk@zju.edu.cn

Last Update: 1900-01-01