Liao Xilin, Zheng Zebing, Wang Huijuan, Liao Yu, Du Qing, Huang Lu, Tang Chengyan, Gong Yuan, Li Zeping, Zhu Daiwei, Liu Yuanmei, Jin Zhu
Department of Pediatric Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Department of Pediatric Surgery, Guizhou Children's Hospital, Zunyi, China.
BMC Pediatr. 2025 Jul 2;25(1):489. doi: 10.1186/s12887-025-05811-5.
This study aims to compare and analyze the clinical efficacy and safety of Da Vinci robotic surgery (RS) versus traditional laparoscopic surgery (LS) for the treatment of congenital choledochal cyst (CCC) in neonates.
We retrospectively analyzed sixty-seven neonatal cases of CCC admitted to our hospital between December 2018 and December 2024. The cases were categorized into the robotic group (n = 32) and the laparoscopic group (n = 35) based on the surgical technique employed. We systematically compared baseline data, intraoperative metrics, and postoperative recovery between the two groups, focusing on total operative time, biliary-intestinal anastomosis time, and postoperative recovery outcomes.
The two groups were comparable regarding baseline characteristics such as age, gender, weight, and cyst diameter (P > 0.05), with no significant differences in preoperative general conditions (P > 0.05); The total operative time was longer for RS compared to LS (208.54 ± 10.43 min vs. 194.54 ± 17.21 min, P = 0.016). However, the time required for biliary-intestinal anastomosis was shorter in RS (38.25 ± 9.78 min vs. 52.40 ± 9.83 min, P < 0.001), and intraoperative bleeding was significantly lower (P < 0.05); Postoperative abdominal drainage was significantly reduced in RS, with a shorter duration for drainage tube removal, demonstrating a statistically significant difference (P < 0.05). There was no statistically significant difference in the overall complication rate between the two groups.
Da Vinci robotic-assisted surgery is safe and feasible for the treatment of neonatal CCC. RS offers advantages such as a shorter biliary-intestinal anastomosis time, reduced tissue trauma, and faster recovery, warranting its promotion in neonatal surgical practices.
Retrospectively registered.
本研究旨在比较和分析达芬奇机器人手术（RS）与传统腹腔镜手术（LS）治疗新生儿先天性胆总管囊肿（CCC）的临床疗效和安全性。
我们回顾性分析了2018年12月至2024年12月期间我院收治的67例新生儿CCC病例。根据所采用的手术技术，将病例分为机器人手术组（n = 32）和腹腔镜手术组（n = 35）。我们系统地比较了两组的基线数据、术中指标和术后恢复情况，重点关注总手术时间、胆肠吻合时间和术后恢复结果。
两组在年龄、性别、体重和囊肿直径等基线特征方面具有可比性（P > 0.05），术前一般情况无显著差异（P > 0.05）；与LS相比，RS的总手术时间更长（208.54 ± 10.43分钟 vs. 194.54 ± 17.21分钟，P = 0.016）。然而，RS的胆肠吻合时间更短（38.25 ± 9.78分钟 vs. 52.40 ± 9.83分钟，P < 0.001），术中出血量显著更低（P < 0.05）；RS术后腹腔引流明显减少，引流管拔除时间更短，差异有统计学意义（P < 0.05）。两组的总体并发症发生率无统计学显著差异。
达芬奇机器人辅助手术治疗新生儿CCC安全可行。RS具有胆肠吻合时间短、组织创伤小和恢复快等优点，值得在新生儿外科实践中推广。
回顾性注册。
