{"title":"The First Single-Port Robotic-Assisted Excision of Choledochal Cyst and Hepaticojejunostomy in Children","authors":"Eunyoung Jung","doi":"10.1002/rcs.70054","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Choledochal cysts are congenital anomalies requiring surgical intervention, typical excision and hepaticojejunostomy. The da Vinci single-port (SP) robotic system offers a minimally invasive approach with potential benefits for paediatric patients.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>This study describes the SP robotic-assisted resection of choledochal cysts and hepaticojejunostomy in two paediatric patients. Surgical techniques, system description, and procedural outcomes were detailed.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Both surgeries were successfully completed with minimal blood loss and no intraoperative complications. Patients transitioned to a soft diet by postoperative day 3 and were discharged by day 6 without complications. Follow-up at 6 months showed normal sonography and laboratory findings.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>The da Vinci SP system facilitated precise single-incision surgery with improved manoeuvrability and visualisation, demonstrating safety and feasibility for paediatric choledochal cyst excision and hepaticojejunostomy. Further studies are warranted to confirm these findings across larger paediatric populations.</p>\n </section>\n </div>","PeriodicalId":50311,"journal":{"name":"International Journal of Medical Robotics and Computer Assisted Surgery","volume":"21 2","pages":""},"PeriodicalIF":2.3000,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Medical Robotics and Computer Assisted Surgery","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/rcs.70054","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
Background
Choledochal cysts are congenital anomalies requiring surgical intervention, typical excision and hepaticojejunostomy. The da Vinci single-port (SP) robotic system offers a minimally invasive approach with potential benefits for paediatric patients.
Methods
This study describes the SP robotic-assisted resection of choledochal cysts and hepaticojejunostomy in two paediatric patients. Surgical techniques, system description, and procedural outcomes were detailed.
Results
Both surgeries were successfully completed with minimal blood loss and no intraoperative complications. Patients transitioned to a soft diet by postoperative day 3 and were discharged by day 6 without complications. Follow-up at 6 months showed normal sonography and laboratory findings.
Conclusions
The da Vinci SP system facilitated precise single-incision surgery with improved manoeuvrability and visualisation, demonstrating safety and feasibility for paediatric choledochal cyst excision and hepaticojejunostomy. Further studies are warranted to confirm these findings across larger paediatric populations.
期刊介绍:
The International Journal of Medical Robotics and Computer Assisted Surgery provides a cross-disciplinary platform for presenting the latest developments in robotics and computer assisted technologies for medical applications. The journal publishes cutting-edge papers and expert reviews, complemented by commentaries, correspondence and conference highlights that stimulate discussion and exchange of ideas. Areas of interest include robotic surgery aids and systems, operative planning tools, medical imaging and visualisation, simulation and navigation, virtual reality, intuitive command and control systems, haptics and sensor technologies. In addition to research and surgical planning studies, the journal welcomes papers detailing clinical trials and applications of computer-assisted workflows and robotic systems in neurosurgery, urology, paediatric, orthopaedic, craniofacial, cardiovascular, thoraco-abdominal, musculoskeletal and visceral surgery. Articles providing critical analysis of clinical trials, assessment of the benefits and risks of the application of these technologies, commenting on ease of use, or addressing surgical education and training issues are also encouraged. The journal aims to foster a community that encompasses medical practitioners, researchers, and engineers and computer scientists developing robotic systems and computational tools in academic and commercial environments, with the intention of promoting and developing these exciting areas of medical technology.