Department of General Surgery, The Children's Hospital, National Clinical Research Center for Child Health, Zhejiang University School of Medicine, 3333 Binsheng Rd, Hangzhou, Zhejiang, China.
Department of Surgical Oncology, The Children's Hospital, National Clinical Research Center for Child Health, Zhejiang University School of Medicine, 3333 Binsheng Rd, Hangzhou, Zhejiang, China.
Langenbecks Arch Surg. 2024 Nov 18;409(1):351. doi: 10.1007/s00423-024-03543-1.
To compare the differences in surgical outcomes of robot-assisted treatment and laparoscopy for benign ovarian tumors among pediatric patients.
A total of 39 patients underwent robot-assisted surgery, and their outcomes were compared with 55 patients treated with laparoscopy during the same period by the same surgeons.
There were no significant differences between the two groups in terms of age (7.5 ± 4.5 vs. 8.8 ± 3.8 years, p = 0.2496), weight (29.3 ± 17.7 vs. 31.7 ± 14.6 kg, p = 0.4383), or tumor size (5.0 ± 3.3 vs. 5.1 ± 3.8 cm, p = 0.8541). However, the operative time was significantly longer in the robotic surgery group (102.7 ± 33.5 vs. 89.3 ± 50.9 min, p = 0.0112). There was no significant difference in intraoperative blood loss. Fewer patients in the robotic surgery group opted for day surgery compared to the laparoscopy group (15.4% vs. 54.5%, p < 0.001). There was no significant difference in the length of hospital stay between the two groups of patients who chose inpatient surgery (5.6 ± 3.4 vs. 4.4 ± 2.9 d, p = 0.1213). There was no conversion to open surgery and no early postoperative complications in both groups.
Robot-assisted surgery and laparoscopy yield comparable outcomes for the treatment of benign ovarian tumors in children, although robotic surgery has a longer operative time.
比较机器人辅助治疗和腹腔镜治疗小儿良性卵巢肿瘤的手术效果差异。
共有 39 名患者接受了机器人手术，将他们的结果与同期由同一位外科医生进行腹腔镜治疗的 55 名患者进行比较。
两组患者在年龄（7.5±4.5 岁与 8.8±3.8 岁，p=0.2496）、体重（29.3±17.7 千克与 31.7±14.6 千克，p=0.4383）或肿瘤大小（5.0±3.3 厘米与 5.1±3.8 厘米，p=0.8541）方面均无显著差异。然而，机器人手术组的手术时间明显更长（102.7±33.5 分钟与 89.3±50.9 分钟，p=0.0112）。术中出血量无显著差异。与腹腔镜组相比，机器人手术组选择日间手术的患者较少（15.4%比 54.5%，p<0.001）。选择住院手术的两组患者的住院时间无显著差异（5.6±3.4 天与 4.4±2.9 天，p=0.1213）。两组均无中转开腹，且无早期术后并发症。
机器人辅助手术和腹腔镜治疗小儿良性卵巢肿瘤的效果相当，尽管机器人手术的手术时间较长。
