EN
TÜRKÇE
Poster - 153
Robot-assisted thoracoscopic surgery for ligation patent ductus arteriosus in children
XiWang Liu, Liyang Ying, Xiangming Fan, Qiang Shu
The Children's Hospital, Zhejiang University School of Medicine
Objective: There is limited experience of robot-assisted surgery for patent ductus arteriosus (PDA) treatment in children. In the present study, we update the experience of PDA ligation by using the robotic-assisted thoracoscopic surgery in a larger of pediatric population , especially in the younger infant. In addition, we explore the safety and effective of robotic surgical technique for PDA ligation as an alternative to traditional and minimally invasive PDA ligation in children
Methods: From August 2020 to January 2025, children with PDA who underwent robot-assistedthoracoscopic operation were enrolled in our center. The patients’ demographic data together with their perioperative clinical variables were collected retrospectively from medical records.
Results: There were 410 cases received such surgery. The age ranged from 6 monthsto 12.8 vears with average age 3.5+2.4 years. The weight ranged from 6.2 kilograms (kg) to 66 kg withaverage weight 15.6 +7.2kg. Two hundred and thirty (56.1%) patients were younger than 3-year-old which including 29 infants. The PDA diameter was 0.2 centimeter (cm) to 0.8 cm with average diameter0.38+0.29 cm. The operation time was 23-84 minutes long. With the improvement of the process, theoperation time usually does not exceed 35 minutes. There was no obvious bleeding during the operationThe length of hospital stays was 1-3 days. Six case was found to have residual ductus shunt during earlypostoperative follow-up. One case was found with recurrent laryngeal nerve injury. All the cases wererecovery after 6 months of follow-up. No other complications during the follow-up period.
Conclusion: Robotic assisted thoracoscopic surgical technique for PDA ligation in children is a safe, effective and reliable surgical method with less trauma, faster recovery and fewer surgical risks. Thisapproach should be considered as an option in children patients requiring PDA ligation.