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The SHURUI single-port robotic system for choledochal cyst excision and biliary reconstruction in children: A case
Jiankun Liang1, Xiaoling Bai1, Shenghai Qin1
1Department of Pediatric Surgery, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China.
Insights
This study introduces the SHURUI single-port robotic system for congenital choledochal cyst excision in pediatric patients. The system proved feasible and safe, offering potential advantages over traditional surgical methods.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Congenital choledochal cysts require complex surgical treatment, typically total cyst excision and Roux-en-Y hepaticojejunostomy.
- This standard procedure demands significant surgical expertise.
Observation:
- The SHURUI single-port robotic system was utilized for choledochal cyst excision and Roux-en-Y hepaticojejunostomy in a pediatric patient.
- The procedure involved extracorporeal anastomosis construction followed by intracorporeal excision and hepaticojejunostomy using the SHURUI system.
Findings:
- The operation lasted 292 minutes with minimal blood loss (2 mL).
- The patient was discharged on postoperative day 6 with satisfactory recovery at one month.
- No surgical complications or adverse wound outcomes were reported.
Implications:
- This represents an initial experience with the SHURUI Surgical System in pediatric choledochal cyst management.
- The SHURUI system demonstrates feasibility and safety for this complex pediatric surgical procedure.
- The robotic system may offer advantages compared to laparoscopic and open surgical approaches.
Introduction:
Total cyst excision and Roux-en-Y hepaticojejunostomy is the standard procedure for treating congenital choledochal cysts, which requires high surgical skills. Our aim is to introduce the experience with the SHURUI single-port robotic system in pediatric surgery.
Presentation Of Case:
In this study, we present a case demonstrating the application of the SHURUI single-port robotic system in performing choledochal cyst excision and Roux-en-Y hepaticojejunostomy in a pediatric patients. Roux-en-Y anastomosis was constructed extracorporeally, then choledochal cyst excision and hepaticojejunostomy was performed intracorporally using the SHURUI Surgical System. Surgical complications and the wound outcomes were assessed. The total duration of the operation was 292 min, comprising an extracorporeal time of 45 min, docking time of 19 min, and intracorporal time of 183 min. The estimated blood loss was minimal at only 2 mL. The patient was discharged 6 days post-operation, and exhibited satisfactory recovery at the one-month follow-up.
Discussion:
This case represents an initial experience with the SHURUI Surgical System in managing a pediatric choledochal cyst. The results indicate that the system is feasible and safe for this procedure, and may have some advantages over laparoscopic and open approaches.
Conclusion:
The SHURUI Surgical System is both feasible and safe in pediatric surgery, and it may offer certain advantages over laparoscopic and open approaches.
