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Robotic-assisted surgery for choledochal cyst in children: early experience at Vietnam National Children’s Hospital

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Abstract

Purpose

We aimed to describe our robotic-assisted surgery (RAS) techniques and assess the early results of RAS for choledochal cysts in children.

Methods

We conducted a retrospective chart review of children who underwent RAS for a congenital choledochal cyst at our institution between February 2013 and August 2016. We analyzed patient characteristics, operative data, and postoperative outcomes.

Results

Thirty-nine patients underwent RAS for a choledochal cyst (female 30). The operation was performed with four robotic ports and one laparoscopic port for the assistant. The Roux loop was fashioned extracorporeally. Twenty patients (51.3%) had a Todani Type I cyst and the others had Type IV. The mean patient age and weight and choledochal cyst diameter at the time of the operation were 40.2 months (range 5–108 months), 13.4 kg (range 6.5–29 kg), and 27.2 mm (range 9–112 mm), respectively. The mean operating time was 192.7 min (range 150–330 min). There were no intraoperative complications; no conversions to laparoscopic or open surgery; and no postoperative complications, including cholangitis, cholelithiasis, or anastomotic stenosis.

Conclusion

Pediatric RAS CC resection is safe and feasible. The robot-assisted technique overcame technical difficulties. However, in pediatric cases, a skilled robotic surgical team and procedural modifications are needed.

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Acknowledgements

We thank Professor Seok Joo Han (Yonsei University, Severance Children’s Hospital, Seoul, Korea) for sharing his advice about robotic-assisted surgery for choledochal cysts in children.

Funding

This research did not receive any specific grant.

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Authors and Affiliations

  1. Department of Pediatric Surgery, Vietnam National Children’s Hospital, 18/879 La Thanh, Dong Da, Hanoi, Vietnam

    Hien Duy Pham, Yuichi Okata, Hoan Manh Vu, Nam Xuan Tran, Quang Thanh Nguyen & Liem Thanh Nguyen

  2. Division of Pediatric Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan

    Yuichi Okata

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  1. Hien Duy Pham
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  2. Yuichi Okata
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  3. Hoan Manh Vu
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  4. Nam Xuan Tran
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  5. Quang Thanh Nguyen
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  6. Liem Thanh Nguyen
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Corresponding author

Correspondence to Hien Duy Pham.

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The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. This study was also approved by The Vietnam National Children’s Hospital Institutional Review Board (IRB00009162).

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All data were collected anonymously, and patient consent was not required.

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Pham, H.D., Okata, Y., Vu, H.M. et al. Robotic-assisted surgery for choledochal cyst in children: early experience at Vietnam National Children’s Hospital. Pediatr Surg Int 35, 1211–1216 (2019). https://doi.org/10.1007/s00383-019-04518-w

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