Robotic-assisted surgery for choledochal cyst in children: early experience at Vietnam National Children’s Hospital
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In brief
In brief
This retrospective study of 39 pediatric patients demonstrates the safety and feasibility of robotic-assisted choledochal cyst resection at a Vietnamese tertiary center. All procedures were completed robotically without conversion, complications, or postoperative sequelae including cholangitis or anastomotic stenosis.
Written by the GCMD Library team from the article.
Abstract
Purpose
We aimed to describe our robotic-assisted surgery (RAS) techniques and assess the early results of RAS for choledochal cysts in children.
Methods
We conducted a retrospective chart review of children who underwent RAS for a congenital choledochal cyst at our institution between February 2013 and August 2016. We analyzed patient characteristics, operative data, and postoperative outcomes.
Results
Thirty-nine patients underwent RAS for a choledochal cyst (female 30). The operation was performed with four robotic ports and one laparoscopic port for the assistant. The Roux loop was fashioned extracorporeally. Twenty patients (51.3%) had a Todani Type I cyst and the others had Type IV. The mean patient age and weight and choledochal cyst diameter at the time of the operation were 40.2 months (range 5–108 months), 13.4 kg (range 6.5–29 kg), and 27.2 mm (range 9–112 mm), respectively. The mean operating time was 192.7 min (range 150–330 min). There were no intraoperative complications; no conversions to laparoscopic or open surgery; and no postoperative complications, including cholangitis, cholelithiasis, or anastomotic stenosis.
Conclusion
Pediatric RAS CC resection is safe and feasible. The robot-assisted technique overcame technical difficulties. However, in pediatric cases, a skilled robotic surgical team and procedural modifications are needed.