Robotic-assisted single-port choledochal cyst radical surgery in children - a case series study

Jianglong Chen ^1,2, Yuru Zhang ^1,2, Shan Lin ^1,2

⁰Shengli Clinical Medical College of Fujian Medical University, Fuzhou, Fujian Province, China.

Annals of Medicine and Surgery (2012) +

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November 3, 2025

View abstract on PubMed

Summary

Robotic-assisted single-port surgery using the da Vinci Xi system is a safe and effective approach for pediatric choledochal cyst resection. This innovative technique shows promise for improved patient outcomes in pediatric surgery.

Area Of Science

Minimally Invasive Surgery
Pediatric Surgery
Surgical Robotics

Background

Pioneering the use of the da Vinci Xi system's robotic-assisted single-port technology for pediatric choledochal cyst resection.
Assessing the feasibility and safety of this novel surgical approach in pediatric patients.

Purpose Of The Study

To evaluate the safety and efficacy of robotic-assisted single-port choledochal cyst resection in children.
To describe the surgical technique and perioperative outcomes.

Main Methods

Study included five pediatric patients with choledochal cysts.
Detailed description of the single-port umbilical approach, including externalized anastomosis.
Robotic system used for gallbladder and cyst removal, and biliary-intestinal anastomosis.

Main Results

All five surgeries were successfully completed without complications.
Total operative time ranged from 180 to 232 minutes; robotic operative time was 60 to 90 minutes.
Fasting and hospitalization durations were 3-7 and 7-14 days, respectively, with no reported adverse events.

Conclusions

Robotic-assisted single-port surgery with the da Vinci Xi system is safe and effective for pediatric choledochal cyst resection.
Further research with larger cohorts is recommended to explore long-term outcomes and the learning curve associated with this technique.

Keywords:

case series study choledochal cyst da Vinci Xi pediatric minimally invasive surgery single port