Cai Duote,Chen Qingjiang,Zhang Lifeng,et al.Comparative study of Da Vinci technique versus traditional laparoscopic technique in the treatment of choledochal cyst[J].Journal of Clinical Pediatric Surgery,,21():51-57.[doi:10.3760/cma.j.cn.101785-202012066-010]
Comparative study of Da Vinci technique versus traditional laparoscopic technique in the treatment of choledochal cyst
- Keywords:
- Operativ; Robot; Laparoscopy; Choledochal Cyst; Treatment Outcome
- Abstract:
- Objective To explore the advantages and disadvantages of Da Vinci robot versus traditional laparoscopic assisted surgery for choledochal cyst. Methods From April 2020 to December 2020, 44 cases of choledochal cyst were divided into Da Vinci operation group (n=25) and laparoscopy group (n=19).Operative duration, proportion of conversion into laparotomy, proportion of distal opening of cystic choledochal cyst, volume of blood loss, fasting time, postoperative indwelling days of abdominal drainage tube, postoperative hospital stay, hospitalization expenses and postoperative complications were compared between two groups. Results Operative duration was (189.4±35.5) min in Da Vinci group and (167.1±33.9) min in laparoscopic group.And the difference was statistically significant (t=2.105, P=0.039).No inter-group statistical difference existed in conversion into laparotomy (P>0.05); detection rate of distal opening of cystic choledochal cyst was higher in Da Vinci group than that in laparoscopic group (66.7% vs.16.7%) and the difference was statistically significant (χ2=6.750, P=0.009).No inter-group statistical difference existed in intraoperative volume of blood loss or postoperative fasting time (P>0.05).Postoperative indwelling days of abdominal drainage tube was 6(6-9) days in Da Vinci group and 8(7-10) days in laparoscopic group.And the difference was statistically significant (Z=-2.226, P=0.026).Postoperative hospital stay was (8.7±2.3) days in Da Vinci group and (11.0±2.5) days in laparoscopic group.The difference was statistically significant (t=-3.044, P=0.004).In terms of hospitalization expenses, Da Vinci group was significantly higher than laparoscopic group and the difference was statistically significant (Z=-4.450, P<0.001).No inter-group statistical difference existed in the incidence of complications (P>0.05). Conclusion Da Vinci robot assisted radical choledochocystectomy is both safe and feasible.It is ideal for children requiring meticulous operations and its postoperative recovery is faster than that of traditional laparoscopy.
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Memo
收稿日期:2020-12-24。
基金项目:国家重点研发计划（2018YFC1002700）；浙江省腹腔脏器微创诊治临床医学研究（01492-02）；浙江省医药卫生科技计划项目（2017KY434）；浙江省卫生健康科技计划（2022RC201）
通讯作者:高志刚,Email:ebwk@zju.edu.cn