Comparation of robotic-assisted surgery and laparoscopic‑assisted surgery in children with Hirschsprung’s disease: a single-centered retrospective study
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Published:2023-09-26
Issue:1
Volume:23
Page:
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ISSN:1471-2482
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Container-title:BMC Surgery
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language:en
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Short-container-title:BMC Surg
Author:
Zhang Shuhao,Cai Duote,Zhang Yuebin,Pan Tao,Chen Ken,Jin Yi,Luo Wenjuan,Huang Zongwei,Hu Di,Chen Qingjiang,Gao Zhigang
Abstract
Abstract
Background
There are few studies comparing robotic-assisted surgery (RAS) and laparoscopic-assisted surgery (LAS) in Hirschsprung’s disease (HSCR). This study aimed to compare intraoperative and postoperative outcomes between RAS and LAS performed during the same period.
Methods
All consecutive 75 patients with pathologically diagnosed as HSCR who underwent Swenson pull-through surgery from April 2020 to Nov 2022, were included. Patients were divided into RAS group and LAS group and a retrospective analysis was performed based on clinical indexes and prognosis.
Results
A total of 75 patients were included, among which, 31 patients received RAS and 44 received LAS. The RAS and LAS groups had similar ages, sex, weight, postoperative hospital stays, and fasting times. Compared with LAS, blood loss (p = 0.002) and the incidence of Hirschsprung-associated enterocolitis (p = 0.046) were significantly lower in the RAS group. The first onset of Hirschsprung-associated enterocolitis in patients younger than 3 months occurred significantly earlier (p = 0.043). Two patients experienced anastomotic leakage in the LAS group and one patient experienced incisional hernia in the RAS group. The cost of RAS was significantly higher than that of LAS (p < 0.0001).
Conclusions
RAS is a safe and effective alternative for HSCR children, and a delaying primary surgery until later in infancy (> 3 months) may improve outcomes.
Funder
Health Science and Technology Plan of Zhejiang Province
Zhejiang Provincial Natural Science Foundation Project
Clinical Medical Research of Minimally Invasive Diagnosis and Treatment of Abdominal Organs in Zhejiang Province
Science and Technology Program of Zhejiang Province
Publisher
Springer Science and Business Media LLC
Subject
General Medicine,Surgery
Cited by
1 articles.
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