回顾性评估新生儿机器人辅助与腹腔镜辅助十二指肠菱形吻合术的短期结果。
Retrospective assessment of short-term outcomes of robotic- versus laparoscopic-assisted duodenal diamond anastomosis in neonates.
机构信息
Department of Neonatal Surgery, National Clinical Research Center for Child Health, Children's Hospital, Zhejiang University School of Medicine, 3333 Binsheng Rd, Hangzhou, Zhejiang, China.
出版信息
Surg Endosc. 2024 Sep;38(9):5214-5219. doi: 10.1007/s00464-024-11070-9. Epub 2024 Jul 24.
OBJECTIVE
The purpose of this study was to retrospectively compare the short-term outcomes of robotic- (RAD) and laparoscopic-assisted duodenal diamond-shaped anastomosis (LAD) in neonates.
METHODS
Neonates who underwent RAD (n = 30) or LAD (n = 38) between January 2019 and December 2022 were analyzed retrospectively. Major patient data were collected, including preoperative, intraoperative, and postoperative information.
RESULTS
All patients were neonates below the age of 30 days weighing 4 kg. Thirty (44.1%) neonates underwent RAD and 38 neonates (55.9%) underwent LAD. Compared to the LAD group, the RAD group had a shorter intra-abdominal operation time (RAD, 60.0(50.0 ~ 70.0) min; LAD, 79.9(69.0 ~ 95.3) min; p < 0.001). There were no significant differences in immediate and 30-day complications between the two groups.
CONCLUSIONS
RAD is safe and effective in neonates. Compared to traditional LAD, RAD showed comparable results.
目的
本研究旨在回顾性比较机器人辅助（RAD）和腹腔镜辅助十二指肠菱形吻合术（LAD）在新生儿中的短期结果。
方法
回顾性分析 2019 年 1 月至 2022 年 12 月期间接受 RAD（n=30）或 LAD（n=38）的新生儿。收集主要患者数据，包括术前、术中及术后信息。
结果
所有患者均为 30 天龄以下、体重 4kg 的新生儿。30 例（44.1%）新生儿行 RAD，38 例（55.9%）行 LAD。与 LAD 组相比，RAD 组的腹腔内手术时间更短（RAD：60.0（50.070.0）min；LAD：79.9（69.095.3）min；p<0.001）。两组即刻并发症和 30 天并发症发生率无显著差异。
结论
RAD 在新生儿中是安全有效的。与传统的 LAD 相比，RAD 显示出相似的结果。
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