Xie Zhoulonglong,Li Chenchen,Chen Sheng,et al.Comparison of single-port robotic and conventional laparoscopic surgery for choledochal cysts in children[J].Journal of Clinical Pediatric Surgery,2025,(11):1022-1026.[doi:10.3760/cma.j.cn101785-202507056-005]
单孔机器人技术与常规腹腔镜治疗儿童胆总管囊肿
- Title:
- Comparison of single-port robotic and conventional laparoscopic surgery for choledochal cysts in children
- Keywords:
- Laparoscopy; Robotic Surgical Procedures; Choledochal Cyst; Child
- 摘要:
- 目的 比较单孔机器人辅助腹腔镜与传统多孔腹腔镜治疗儿童胆总管囊肿的特点及效果。方法 本研究为回顾性研究,收集上海儿童医学中心普外科2022年1月至2023年12月收治的20例胆总管囊肿患儿作为研究对象。根据手术方式的不同分为单孔机器人组(n=10)和传统腹腔镜组(n=10)。比较两组手术时长、术中出血,术后禁食时间、术后引流管留置时长、住院时长、住院费用以及并发症等资料。结果 单孔机器人组较传统腹腔镜组术后恢复经口进食时间更早[3.00(2.00,4.00)d比4.00(3.75,5.00)d],年龄更大[(8.12±3.50)岁比(4.37±3.37)岁],且手术费用更高[(69 655.54±10 193.48)元 比(54 102.10±5 406.47)元],差异均有统计学意义(P＜0.05)。两组手术时间、术中出血量、术后住院时长、术后引流管留置时长比较,差异均无统计学意义(P＞0.05)。结论 单孔机器人腹腔镜辅助胆总管囊肿根治术安全有效,较传统腹腔镜手术术后恢复更快,且操作更加精细、切口少、创伤小,术后外观更佳;但费用更高,且在小年龄儿童中应用存在一定局限性。
- Abstract:
- Objective To compare the characteristics and outcomes of single-port robot-assisted laparoscopic surgery and conventional multi-port laparoscopic surgery in the treatment of choledochal cysts in children. Methods This retrospective study included 20 pediatric patients with choledochal cysts treated in the Department of General Surgery at Shanghai Children’s Medical Center between January 2022 and December 2023.According to the surgical approach,patients were divided into the single-port robot-assisted laparoscopic surgery group (n=10) and the conventional multi-port laparoscopic group (n=10).The two groups were compared regarding operative time,intraoperative blood loss,postoperative fasting time,duration of drain placement,length of hospital stay,hospitalization cost,and postoperative complications. Results Compared with the conventional laparoscopic group,the single-port robotic group showed a shorter time to postoperative oral intake[3.00(2.00,4.00) days vs.4.00(3.75,5.00) days],older patient age[(8.12±3.50) years vs.(4.37±3.37) years],and higher hospitalization cost[(69,655.54±10,193.48) yuan vs.(54,102.10±5,406.47) yuan],with statistically significant differences (P<0.05).There was no significant differences between the two groups in operative time,intraoperative blood loss,postoperative hospital stay,or duration of drain placement (P>0.05). Conclusions Single-port robot-assisted laparoscopic choledochal cyst excision is safe and effective.Compared with conventional laparoscopic surgery,it offers faster postoperative recovery,more precise manipulation,fewer incisions,smaller trauma,and better cosmetic outcomes.However,it is associated with higher costs and certain limitations in younger pediatric patients.
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备注/Memo
收稿日期:2025-8-6。
基金项目:贵州省科技成果转化及产业化计划项目(黔科合成果—LC[2024]107)
通讯作者:严志龙;Email:dryanzhilong@163.com