Robotic-assisted Swenson procedure for Hirschsprung's disease with a median age of 35 days: a single-center retrospective study.

IF 1.5 3区医学 Q2 PEDIATRICS

Pediatric Surgery International Pub Date : 2025-02-27 DOI:10.1007/s00383-025-05988-x

Jinfeng Hou, Wei Feng, Hanbin Zhao, Mengying Cui, Yi Wang, Zhenhua Guo, Wei Liu

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引用次数: 0

Abstract

Purpose: The treatment of Hirschsprung's disease (HD) in infants with the robotic-assisted Swenson procedure has been rarely reported. In this investigation, we aimed to explore the safety and the efficacy of robotic-assisted Swenson procedure for the HD in infants.

Methods: From November 2022 to July 2023, 17 cases of HD were treated with the Da Vinci robotic Xi surgical system using a three-port approach. Preoperative, intraoperative, and postoperative data were collected and compared with 43 cases of HD treated with laparoscopy by the same lead surgeon.

Results: The robotic-assisted surgery (RAS) group included 17 infants, and the laparoscopic surgery (LS) group included 43 infants, with a median surgical age of 35 days for both groups. There were no statistically significant differences between the two groups in terms of surgical age, gender, preoperative weight, preoperative hospital stay, preoperative enema time, and incidence of preoperative enterocolitis. Estimated intraoperative blood loss and transfusion rate in the RAS group were both lower than in the LS group, with statistically significant differences. There were no statistically significant differences in early and midterm postoperative complications (anastomotic leaks, anastomotic strictures, enterocolitis, etc.) between the two groups.

Conclusion: This study demonstrates the efficacy and the safety of robotic-assisted Swenson procedure in infants.

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机器人辅助Swenson手术治疗中位年龄为35天的巨结肠病：一项单中心回顾性研究

目的：机器人辅助Swenson手术治疗婴儿先天性巨结肠病（HD）的报道很少。在本研究中，我们旨在探讨机器人辅助Swenson手术治疗婴儿HD的安全性和有效性。方法：从2022年11月至2023年7月，使用达芬奇机器人Xi手术系统，采用三孔入路治疗17例HD患者。收集术前、术中、术后资料，并与43例由同一主刀医师腹腔镜治疗的HD患者进行比较。结果：机器人辅助手术（RAS）组包括17名婴儿，腹腔镜手术（LS）组包括43名婴儿，两组的中位手术年龄均为35天。两组患者在手术年龄、性别、术前体重、术前住院时间、术前灌肠时间、术前小肠结肠炎发生率等方面差异均无统计学意义。RAS组术中估计出血量和输血率均低于LS组，差异有统计学意义。两组术后早期、中期并发症（吻合口瘘、吻合口狭窄、小肠结肠炎等）比较，差异均无统计学意义。结论：本研究证明了机器人辅助Swenson手术在婴儿中的有效性和安全性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Surgery International 医学-外科

CiteScore

3.00

自引率

5.60%

发文量

215

审稿时长

3-6 weeks

期刊介绍： Pediatric Surgery International is a journal devoted to the publication of new and important information from the entire spectrum of pediatric surgery. The major purpose of the journal is to promote postgraduate training and further education in the surgery of infants and children. The contents will include articles in clinical and experimental surgery, as well as related fields. One section of each issue is devoted to a special topic, with invited contributions from recognized authorities. Other sections will include: -Review articles- Original articles- Technical innovations- Letters to the editor