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The First Single-Port Robotic-Assisted Excision of Choledochal Cyst and Hepaticojejunostomy in Children
1Department of Pediatric Surgery, Keimyung University Dongsan Medical Center, Daegu, Republic of Korea.
Insights
The da Vinci single-port (SP) robotic system safely and effectively treated two pediatric patients with choledochal cysts. This minimally invasive approach shows promise for complex pediatric surgeries.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
- Surgical Robotics
Background:
- Choledochal cysts are congenital anomalies requiring surgical excision and hepaticojejunostomy.
- The da Vinci single-port (SP) robotic system presents a minimally invasive surgical option for pediatric patients.
Purpose of the Study:
- To describe the surgical technique and outcomes of SP robotic-assisted choledochal cyst excision and hepaticojejunostomy in pediatric patients.
- To evaluate the safety and feasibility of the da Vinci SP system for this procedure.
Main Methods:
- The study details the SP robotic-assisted resection of choledochal cysts and hepaticojejunostomy in two pediatric patients.
- Surgical techniques, system specifics, and procedural outcomes were documented.
Main Results:
- Both SP robotic surgeries were completed successfully with minimal blood loss and no intraoperative complications.
- Patients achieved early diet advancement and were discharged by postoperative day 6 without complications.
- Six-month follow-up revealed normal sonography and laboratory findings.
Conclusions:
- The da Vinci SP system enables precise single-incision surgery with enhanced maneuverability and visualization for pediatric choledochal cyst excision.
- The system demonstrates safety and feasibility in pediatric patients, warranting further investigation in larger cohorts.
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.
