Chen Sai,Gao Zhigang,Chen Qingjiang,et al.Comparison of short-term outcomes between robot-assisted and laparoscopic-assisted hepaticojejunostomy in children[J].Journal of Clinical Pediatric Surgery,,():1017-1021.[doi:10.3760/cma.j.cn101785-202507023-004]
Comparison of short-term outcomes between robot-assisted and laparoscopic-assisted hepaticojejunostomy in children
- Abstract:
- Objective To compare the short-term efficacy and safety of robot-assisted hepaticojejunostomy (RAHJ) and laparoscopic-assisted hepaticojejunostomy (LAHJ) in the treatment of children with congenital choledochal cysts using propensity score matching (PSM). Methods Clinical data of 356 pediatric patients with congenital choledochal cysts who underwent radical cyst excision at the Hepatobiliary Surgery Center of the Children’s Hospital Affiliated to Zhejiang University School of Medicine,between September 2018 and February 2024 were retrospectively analyzed.According to the surgical approach,patients were divided into the RAHJ group (n=195) and LAHJ group (n=161).Demographic data and perioperative outcomes were collected and analyzed.To minimize confounding factors,a1[KG0.5mm]∶1 PSM analysis was performed. Results After matching,129 patients were included in each group.The RAHJ group showed significantly less intraoperative blood loss[5(5,5)mL vs.10(5,10)mL]and shorter postoperative hospital stay[9(8,12) days vs.11(10,14)days]than the LAHJ group (P<0.05).However,hospitalization costs were significantly higher in the RAHJ group[78,010.72(74,125.87-86,976.82) yuan vs.31,769.05(27,868.79-37,954.09),P<0.05].No significant differences were found between the two groups in operative time or postoperative fasting duration(P>0.05). Conclusions The robot-assisted surgical system is safe and feasible option for treating congenital choledochal cysts in children.Compared with laparoscopy-assisted surgery,RAHJ offers significant advantages in reducing intraoperative bleeding and shortening postoperative hospital stay,indicating superior recovery outcomes.Although RAHJ incurs higher procedural costs,its clinical benefits merit further attention.
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Memo
收稿日期:2025-7-10。
基金项目:国家重点研发项目(2024YFC2707005)
通讯作者:高志刚,Email:ebwk@zju.edu.cn