Robot-Assisted Resection of Intestinal Duplication in Children

Jin, Y.; Zhang, Yuebin; Cai, Duote; Huang, Zongwei; Zhang, Shuhao; Mao, Jianhua; Gao, Zhigang

doi:10.1089/lap.2022.0173

Cited by 5 publications

(5 citation statements)

References 12 publications

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“…Moreover, we reported no complications requiring surgical reintervention after laparoscopic enucleation, whereas a recent study reported a 15% complication rate, that the authors attributed to the use of monopolar coagulation [8]. In order to further facilitate enucleation, Jin et al have recently advocated for the use of robotic-assisted surgery, that was associated with a decreased length of stay without increasing operative time [7]. In the light of these results, we suggest that an initial laparoscopic approach should be attempted in all cases of ID without complication.…”

Section: Discussionmentioning

confidence: 70%

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Enucleation for Intestinal Duplications: a Comparative Study With Intestinal Resection and Anastomosis

Laplanche,

Montalva,

Dara

et al. 2024

Preprint

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Purpose : Duplication enucleation (DE) has been described as an alternative to intestinal resection with primary anastomosis (IRA) for intestinal duplications, but no comparative study exists. The aim of this study was to compare both surgical procedures for intestinal duplication. Methods: A retrospective study was performed, including all children treated for intestinal duplication (2005–2023). Patients that underwent DE were compared to those that underwent IRA. Statistical significance was determined using p < 0.05. Ethical approval was obtained. Results: A total of 51 patients (median age: 5 months) were treated for intestinal duplication, including 27 patients (53%) that underwent DE and 24 IRA (47%). A cystic image was detected prenatally in 19 patients (70%) with DE and 11 patients (46%) with IRA (p = 0.09). Enucleation was performed using laparoscopy in 7 patients (14%). Patients that underwent DE had shorter time to first feed (1 vs 3 days,p = 0.0001) and length of stay (4 vs 6 days, p < 0.0004) compared to IRA. A muscular layer was identified in 68% of intestinal resection specimens. Conclusion: Compared to intestinal resection with anastomosis, duplication enucleation is associated with decreased postoperative length of stay and delay to first feeds without increasing post-operative complications. Regarding histological analysis, enucleation seems feasible in most cases.

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Section: Discussionmentioning

confidence: 70%

“…Recently, several studies [7,8] have advocated for the use of enucleation for small bowel or colonic duplications.…”

Section: Introductionmentioning

confidence: 99%

Enucleation for Intestinal Duplications: a Comparative Study With Intestinal Resection and Anastomosis

Laplanche,

Montalva,

Dara

et al. 2024

Preprint

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“…Installation is time-consuming, but replacing the Da Vinci Si system with the Da Vinci Xi system greatly reduces installation time. Our average installation time has been reduced to 15-20 minutes [9,16]. With the rapid development of arti cial intelligence and mechanical engineering, these problems will be solved in the future.…”

Section: Discussionmentioning

confidence: 99%

“…Once diagnosed, surgical resection is usually recommended [6][7][8]. Although laparoscopic surgery has become the main surgical modality for this disorder, there is still a high rate of conversion to laparotomy because most MCs are multiple and adherent to peripheral organ vessels [9]. With the development of minimally-invasive techniques, the invention and application of the da Vinci robotic surgical system has ushered in a new era of surgical procedures.…”

Section: Introductionmentioning

confidence: 99%

“…With the development of minimally-invasive techniques, the invention and application of the da Vinci robotic surgical system has ushered in a new era of surgical procedures. Compared with traditional laparoscopic surgery, the stability and re nement of the da Vinci robotic surgical system are greatly superior [9]. The da Vinci robotic surgical system has been widely used in the treatment of various diseases, but treatment of MCs has rarely been reported, therefore in this study we report its use in robot-assisted MC resection in pediatric patients.…”

Section: Introductionmentioning

confidence: 99%

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Robot-Assisted Resection of Mesenteric Cysts in Pediatric Patients: a single-centered Retrospective study

Chen,

Cai

et al. 2024

Preprint

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Background Mesenteric cysts (MCs) are rare intra-abdominal masses in childhood. Laparoscopic-assisted surgery has become the main procedure for their resection, but robot-assisted surgery has rarely been reported. The purpose of this study was to retrospectively analyze and present our experience with robot-assisted resection of MCs using the da Vinci Xi surgical system and to discuss the technical points. Methods Children diagnosed with abdominal MCs who underwent surgical treatment at the Children's Hospital of Zhejiang University School of Medicine between January 2020 and November 2023 were retrospectively analyzed, and clinical data, surgical details, and prognosis of the patients were systematically collected. Results Among 40 patients, a total of 18 underwent robot-assisted surgery and 22 underwent laparoscopic-assisted surgery. In the robot-assisted surgery group, the entire procedure was performed endoscopically, whereas in the laparoscopic surgery group, eight procedures were converted to laparotomy. The operation time of 134.5 minutes for the robot-assisted group was not significantly longer than the 104 minutes for the laparoscopic-assisted surgery group (P > 0.05), but the average length of postoperative hospital stay was significantly shorter (P < 0.05). Conclusions Robotic-assisted resection of MCs is safe and feasible and the refinement of the Da Vinci Xi surgical system was much better than that of the conventional laparoscopic equipment, resulting in significantly improved intraoperative and postoperative outcomes.

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Robotic Operating Room Configuration

Zhao,

Zhan

2023

Pediatric Robotic Surgery

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Robot-Assisted Resection of Intestinal Duplication in Children

Cited by 5 publications

References 12 publications

Enucleation for Intestinal Duplications: a Comparative Study With Intestinal Resection and Anastomosis

Enucleation for Intestinal Duplications: a Comparative Study With Intestinal Resection and Anastomosis

Robot-Assisted Resection of Mesenteric Cysts in Pediatric Patients: a single-centered Retrospective study

Robotic Operating Room Configuration

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