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TÜRKÇE
Oral Presentation - 36
Robot-assisted surgery in pediatric patients with intestinal duplication
Yi Jin, Zhigang Gao, Shuhao Zhang, Qingjiang Chen, Qiang Shu
Children's Hospital, Zhejiang University School of Medicine
Abstract
Background: Intestinal duplication is a common congenital gastrointestinal duplication malformation, and its treatment method is resected by surgery, laparoscopic assisted surgery is currently the most common surgical procedure. With the development of technology, Da Vinci robotic surgery system has assisted the further development of minimally invasive surgery by facilitating more delicate and precise procedures. the aim of this study was to present a study of robot-assisted resection of the Intestinal duplication and to discuss the technical points
Methods: A total of 123 patients who were diagnosed with intestinal duplication in the Children's Hospital, Zhejiang University School of Medicine, from June 2020 to February 2024 were retrospectively analyzed. The collected data included the clinical information of the patients, intraoperative conditions, operative details, and postoperative outcomes.
Results: A total of 58 patients underwent laparoscopic assisted surgery and 75 patients underwent robot-assisted surgery. For the laparoscopic assisted surgery group, the diseased intestinal was pulled out of the body through the umbilical incision and subjected to local intestinal resection and anastomosis. For the robot-assisted surgery group, all the cysts were peeled off by complete endoscope, the integrity of the intestine was preserved, and even if there was rupture, local suturing can be performed without the need for intestinal resection and anastomosis. There was no significant difference in surgical time between the two groups (P > 0.05), But the postoperative feeding time and hospitalization time of the robot assisted surgery group were significantly shorter (P < 0.05)
Conclusion: Robot-assisted surgery in pediatric patients with intestinal duplication is safe and feasible. It does not require pulling the intestinal out of the abdominal cavity or removing the local intestinal tract, resulting in significantly improved postoperative outcomes.