New article you should know by Cecilia Gigena
"Comparison of robotic versus thoracoscopic repair for congenital esophageal atresia: a propensity score matching analysis "
Authors: Mengxin Zhang, Jinshi Huang, Wei Zhong, Xi Zhang, Ying Zhou, Shuiqing Chi, Liying Rong, Yang Zhang, Guoqing Cao, Shuai Li, Shao-Tao Tang
Full article: https://pubmed.ncbi.nlm.nih.gov/37983822/
Background: Despite the rapid advancement of robotic surgery across various surgical domains, only cases of robotic repair (RR) for neonates with esophageal atresia (EA) have been reported. Comprehensive studies comparing RR and thoracoscopic repair (TR) are lacking. We aimed to compare the safety and efficacy of RR and TR for EA.
Methods: A retrospective multicenter study was conducted on 155 EA neonates undergoing RR (79 patients) or TR (76 patients) between August 2020 and February 2023 using propensity score matching (PSM). Asymmetric port distribution and step-trocar insertion techniques were applied during RR. Demographics and surgical outcomes were compared.
Results: After matching, 63 patients (out of 79) in RR group and 63 patients (out of 76) in TR group were included. There were no significant differences in short-term outcomes between two groups, except for longer total operative time (173.81 vs. 160.54 min; P<0.001) and shorter anastomotic time (29.52 vs. 40.21 min; P<0.001) in RR group. Compared with TR group, the RR group had older age at surgery (8.00 vs. 3.00 d; P<0.001), but a comparable pneumonia rate. More importantly, the incidence of anastomotic leakage (4.76% vs. 19.05%, P=0.013), anastomotic stricture (15.87% vs. 31.74%, P=0.036) within one year postoperatively, and unplanned readmission (32.26% vs. 60.00%, P=0.030) within two years postoperatively were lower in RR group than in TR group.
Conclusions: RR is a technically safe and effective option for EA patients. This approach delays the age of surgery without increasing respiratory complication rates while reducing the incidence of postoperative anastomotic complications and unplanned readmission
Type: video · 0 min · posted 2024-02-01 Canonical: https://library.globalcastmd.com/watch/comparison-of-robotic-versus-thoracoscopic-repair-for-congenital-esophageal-atresia-7940 ## Chapters - [0:00](https://library.globalcastmd.com/watch/comparison-of-robotic-versus-thoracoscopic-repair-for-congenital-esophageal-atresia-7940?t=0) Robotic vs Thoracoscopic Repair for Esophageal Atresia ## Statements - "The study is a retrospective multi-center study done in China" — Cecilia Gigena (epidemiological) [0:10](https://library.globalcastmd.com/watch/comparison-of-robotic-versus-thoracoscopic-repair-for-congenital-esophageal-atresia-7940?t=10) - "After propensity score matching, there were 126 patients total, 63 in each group" — Cecilia Gigena (epidemiological) [0:21](https://library.globalcastmd.com/watch/comparison-of-robotic-versus-thoracoscopic-repair-for-congenital-esophageal-atresia-7940?t=21) - "Robotic surgery had longer operative time compared to thoracoscopic repair" — Cecilia Gigena (clinical) [0:28](https://library.globalcastmd.com/watch/comparison-of-robotic-versus-thoracoscopic-repair-for-congenital-esophageal-atresia-7940?t=28) - "Robotic surgery had shorter anastomotic time compared to thoracoscopic repair" — Cecilia Gigena (clinical) [0:28](https://library.globalcastmd.com/watch/comparison-of-robotic-versus-thoracoscopic-repair-for-congenital-esophageal-atresia-7940?t=28) - "The robotic group had lower anastomotic strictures compared to thoracoscopic repair" — Cecilia Gigena (clinical) [0:28](https://library.globalcastmd.com/watch/comparison-of-robotic-versus-thoracoscopic-repair-for-congenital-esophageal-atresia-7940?t=28) - "The robotic group had lower unplanned readmissions within 2 years post-op compared to thoracoscopic repair" — Cecilia Gigena (clinical) [0:28](https://library.globalcastmd.com/watch/comparison-of-robotic-versus-thoracoscopic-repair-for-congenital-esophageal-atresia-7940?t=28) - "Robotic surgery appears to be a good option for esophageal atresia repair" — Cecilia Gigena (opinion) [0:46](https://library.globalcastmd.com/watch/comparison-of-robotic-versus-thoracoscopic-repair-for-congenital-esophageal-atresia-7940?t=46) ## Transcript Have you ever done a robotic repair for esophageal attrition? Hi, I'm Cecilia Jigena from Cincinnati Children's Hospital, and I think this is an article that you should know about. This is a retrospective multi-center study done in China that aimed to compare the robotic repair versus thoracoscopic repair for esophageal attricia. And what did they find? After a propensity score matching, they had 126 patients, 63 in each group. And what they found is that robotic surgery had longer operative time, but shorter anastomatic time, as well as the robotic group had lower anastomatically, lower anastomatic strictures, and lower implan readmissions within 2 years post-op. So, it seems that robotic surgery is a good answer for esophageal tissue repair. Let us know what you think and stay tuned for more articles that you should know about. --- Not medical advice · citation policy: https://library.globalcastmd.com/ai