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Retrospective assessment of the validity of robotic surgery in comparison to open surgery for pediatric choledochal cyst

 Na Young Kim  ;  Eun Young Chang  ;  Young Ju Hong  ;  Simin Park  ;  Ha Yan Kim  ;  Sun-Joon Bai  ;  Seok Joo Han 
 YONSEI MEDICAL JOURNAL, Vol.56(3) : 737-743, 2015 
Journal Title
Issue Date
Age Distribution ; Aged, 80 and over ; Child ; Child, Preschool ; Choledochal Cyst/surgery* ; Female ; Humans ; Incidence ; Infant ; Length of Stay/statistics & numerical data ; Male ; Minimally Invasive Surgical Procedures/methods* ; Postoperative Complications/epidemiology ; Postoperative Period ; Prospective Studies ; Reproducibility of Results ; Retrospective Studies ; Robotics* ; Treatment Outcome
Choledochal cyst ; children ; robotic surgery
PURPOSE: We evaluated the validity of robotic surgery (RS) for pediatric choledochal cyst (CC) in comparison to open surgery (OS). MATERIALS AND METHODS: From January 2009 to April 2013, clinical data from 79 consecutive pediatric patients with CC, who underwent RS (n=36) or OS (n=43) performed by a single pediatric surgeon, were analyzed retrospectively. RESULTS: In the RS group, the age of the patients was significantly older, compared to the OS group. Operation and anesthesia times were significantly longer in the RS group than the OS group. Fluid input rates to maintain the same urine output were significantly smaller in the RS group than the OS group. The American Society of Anesthesiologists (ASA) physical status, length of postoperative hospital stay, and the incidence of surgical complications did not differ significantly between the two groups. CONCLUSION: Although early complications could not be avoided during the development of robotic surgical techniques, RS for pediatric CC showed results comparable to those for OS. We believe that RS may be a valid and alternative surgery for pediatric CC. After further development of robotic surgical systems and advancement of surgical techniques therewith, future prospective studies may reveal more positive results.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Yonsei Biomedical Research Center (연세의생명연구원) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Na Young(김나영) ORCID logo https://orcid.org/0000-0003-3685-2005
Kim, Ha Yan(김하얀)
Park, Si Min(박시민)
Bai, Sun Joon(배선준) ORCID logo https://orcid.org/0000-0001-5027-3232
Chang, Eun Young(장은영)
Han, Seok Joo(한석주) ORCID logo https://orcid.org/0000-0001-5224-1437
Hong, Young Ju(홍영주)
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