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Published on: December 4, 2023
Initial Experience With the da Vinci Single-Port System in Paediatric Abdominal Surgery: A Bicentric Retrospective
Hee-Beom Yang1, Eunyoung Jung2
1Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
Background:
Single-port (SP) robotic surgery is uncommon in paediatric abdominal pathologies. We report early experiences with SP robotic general surgery in children.
Methods:
We retrospectively analysed children undergoing SP robotic procedures between August 2023 and September 2025 at two tertiary centres in South Korea. Surgeries were performed with the da Vinci SP system.
Results:
Twenty-one patients (median 4.2 years, 47.6% male) were included, choledochal cyst excision (n = 7) with cholecystectomy, Kasai portoenterostomy, splenectomy, and hiatal hernia repair (n = 2 each). Single cases included anorectoplasty, redo-fundoplication, retroperitoneal teratoma excision, abdominal lymphatic malformation, and Swenson pull-through. The median operative time was 315 min; blood loss, 10 mL; median time to oral intake, 2 (1-6) days; and hospital stay, 6 (1-16) days. One conversion occurred. Six experienced complications (two grade ≥ IIIa; mortality, 0%). The median follow-up was 335 (8-587) days.
Conclusions:
SP robotic surgery appears feasible and safe in selected children but requires multicenter evaluation.
