EN
TÜRKÇE
Poster - 299
Robotic-assisted cholecystectomy in children
Yury Kozlov 1, Alexander Rozansky 2, Eduard Sapukhin 3, Andrey Marchuk 3, Roman Teschuk 3
1 Irkutsk State Medical University, Department of Pediatric Surgery, Irkutsk
2 Irkutsk State Medical Academy of Postgraduate Education, Department of Pediatric Surgery, Irkutsk
3 Irkutsk State Regional Children's Hospital, Department of Pediatric Surgery, Irkutsk
Purpose. Cholecystectomy is one of the most common surgical procedures performed in a minimally invasive way. The present study demonstrates the first experience of performing robot-assisted cholecystectomy in children with gallstone disease and analyzes their results.
Method. The study presents retrospective data on 12 patients with cholelithiasis operated on using robot-assisted technology at the Irkutsk State Regional Children's Clinical Hospital. Robot-assisted gallbladder removal procedures were performed using the new Versius robot model manufactured by CMR (Cambridge Medical Robotics, UK) using 4 ports.
Results. The mean age of patients at the time of surgery was 16,5±0,5 years (median – 17,0 [16,0; 17,0] years). The mean weight of patients at the time of surgery was 71,0±20,0 kg (median – 62,0 [55,0; 89,0] kg). The duration of the operation was 64,2±13,6 min (median – 68,0 [61,0; 70,0] min). During the surgical intervention, there were no complications in the form of bleeding from the cystic artery or damage to the common bile or right bile ducts. The duration of stay of patients in the intensive care unit was 17,6±3,1 hour (median – 18,0 [17,0; 20,0] hours). Duration of hospitalization was 26,0±3,6days (median – 5,0 [4,0; 6,0] days). Throughout the observation period, patients did not complain of discomfort and pain in the area of the upper floors of the abdominal cavity. According to the ultrasound examination performed 1, 3 and 6 months after the operation, there were no signs of expansion of the external and internal bile ducts.
Conclusion. Robotic cholecystectomy is a reproducible minimally invasive technique in children. It is well accepted by patients and their parents as a safe and cosmetically beneficial surgical procedure. Further research is needed to determine the potential benefit of using this approach in pediatric surgery.