Robotic versus laparoscopic radical surgery for pediatric congenital biliary dilatation: a comparison of surgical outcomes of a single surgeon’s initial experience

This comparative study of 18 pediatric congenital biliary dilatation cases demonstrates that robotic-assisted surgery offers faster anastomotic suturing and earlier drain removal compared to laparoscopy, suggesting advantages for precise bile duct reconstruction. However, robotic technique showed limitations in creating the Roux-en-Y limb, indicating laparoscopy may be superior for procedures requiring large instrument movements in expansive surgical fields.