Robot-assisted surgery for Hirschsprung disease in children: initial single-center experience.

IF 1.6 4区医学 Q2 SURGERY

Frontiers in Surgery Pub Date : 2026-04-22 eCollection Date: 2026-01-01 DOI:10.3389/fsurg.2026.1797606

Girolamo Mattioli, Maria Stella Cipriani, Stefano Avanzini, Michela Cing Yu Wong, Valentina Rossi, Maria Grazia Faticato

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引用次数: 0

Abstract

Introduction: Robotic surgery (RS) application to Hirschsprung disease (HSCR) is spreading. The aim of this study was to describe our series of children operated with RS for HSCR, focusing on surgical outcomes.

Methods: Case series of 20 children operated for HSCR disease with robotic approach over a 10-year period (October 2015 to July 2025). Preoperative characteristics, intraoperative data, and postoperative outcomes were collected. A comparison with patients who underwent a laparoscopic surgery for HSCR disease was done.

Results: The median age at surgery was 1.3 years (IQR 0.6-4.8), with a mean weight of 16 kg. Seven-teen patients had rectosigmoid HSCR (85%), and three had long-segment HSCR (15%). The median total operative time was 253 minutes (IQR 188-402), while the median console operative time was 50 minutes (IQR 40-95). Postoperatively, five patients developed mild anastomotic stenosis, and one required redo ileoanal anastomosis (5%). Median follow-up was 11 months (IQ range 5-12). At last follow-up, two patients complained mild constipation with soiling episodes (12%); and two had experienced episodes of HAEC (12%). Comparative analysis with laparoscopy showed no significant differences in operative outcomes.

Conclusion: RS is a safe option for the management of HSCR. More multicentre studies are necessary to define clear indications.

查看原文本刊更多论文

儿童巨结肠疾病的机器人辅助手术：最初的单中心经验。

机器人手术（RS）在先天性巨结肠疾病（HSCR）中的应用越来越广泛。本研究的目的是描述我们的一系列儿童接受RS手术治疗HSCR，重点是手术结果。方法：在2015年10月至2025年7月的10年时间里，20名儿童采用机器人入路手术治疗HSCR疾病。收集术前特征、术中数据和术后结果。与接受腹腔镜手术治疗HSCR疾病的患者进行了比较。结果：手术时中位年龄1.3岁（IQR 0.6-4.8），平均体重16 kg。17例为直肠乙状结肠HSCR(85%)， 3例为长段HSCR（15%）。中位总手术时间为253分钟（IQR 188-402），而中位手术时间为50分钟（IQR 40-95）。术后5例患者出现轻度吻合口狭窄，1例患者需要重新进行回肠肛管吻合（5%）。中位随访11个月（智商范围5-12）。最后随访中，2例患者出现轻度便秘伴脏污发作（12%）；2例经历过HAEC发作（12%）。与腹腔镜手术结果比较分析无明显差异。结论：RS是治疗HSCR的安全选择。需要更多的多中心研究来确定明确的适应症。

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

Frontiers in Surgery Medicine-Surgery

CiteScore

1.90

自引率

11.10%

发文量

1872

审稿时长

12 weeks

期刊介绍： Evidence of surgical interventions go back to prehistoric times. Since then, the field of surgery has developed into a complex array of specialties and procedures, particularly with the advent of microsurgery, lasers and minimally invasive techniques. The advanced skills now required from surgeons has led to ever increasing specialization, though these still share important fundamental principles. Frontiers in Surgery is the umbrella journal representing the publication interests of all surgical specialties. It is divided into several “Specialty Sections” listed below. All these sections have their own Specialty Chief Editor, Editorial Board and homepage, but all articles carry the citation Frontiers in Surgery. Frontiers in Surgery calls upon medical professionals and scientists from all surgical specialties to publish their experimental and clinical studies in this journal. By assembling all surgical specialties, which nonetheless retain their independence, under the common umbrella of Frontiers in Surgery, a powerful publication venue is created. Since there is often overlap and common ground between the different surgical specialties, assembly of all surgical disciplines into a single journal will foster a collaborative dialogue amongst the surgical community. This means that publications, which are also of interest to other surgical specialties, will reach a wider audience and have greater impact. The aim of this multidisciplinary journal is to create a discussion and knowledge platform of advances and research findings in surgical practice today to continuously improve clinical management of patients and foster innovation in this field.