Surgical endoscopy · 2026
Outcomes of robotic lateral duodenoduodenostomy surgery for neonatal duodenal obstruction.
СтатьяСравнительное исследованиеНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Wang Xiaoyu, Zhang Meng-Xin, Zhang Xi, Cao Guoqing, Chi Shuiqing, Zhou Yun, Tang Shao-Tao
Аннотация
BACKGROUND: Robotic-assisted duodenoduodenostomy being used for congenital duodenal obstruction (CDO) is sparsely reported. Our study aims to compare outcomes of the robotic lateral duodenoduodenostomy (RLD) with laparoscopic lateral duodenoduodenostomy (LLD) in the treatment of CDO.
METHODS: We retrospectively analyzed consecutive neonates with CDO who received RLD or LLD in our center between March 2015 and January 2025. Preoperative information, intraoperative and postoperative outcomes were compared.
RESULTS: A total of 46 patients were analyzed in this study (RLD group = 26, LLD group = 20). No significant differences were found between the two groups in sex, disease type, the median operative age, or the median operative weight. Compared to the LLD group, the RLD group had shorter intra-abdominal operation time [RLD, 71.00 (IQR 63.50-77.00) min; LLD, 84.50 (IQR 75.25-101.00) min; P < 0.001], shorter anastomosis time [RLD, 28.50 (IQR 21.75-35.00) min; LLD, 35.50 (IQR 30.00-41.75) min; P = 0.003] and less blood loss [RLD, 4.00 (IQR 3.00-6.00) ml; LLD, 6.00 (IQR 4.25-8.00) ml; P = 0.001]. However, there was no significant difference in the total operation time between the two groups. Time from surgery to initial oral feeding, time to full oral feeding, length of hospital stay, and postoperative complications did not differ significantly between the two groups.
CONCLUSIONS: Robotic-assisted lateral duodenoduodenostomy can be performed easily with good results for neonatal duodenal obstruction, offering comparable results to traditional LLD.
METHODS: We retrospectively analyzed consecutive neonates with CDO who received RLD or LLD in our center between March 2015 and January 2025. Preoperative information, intraoperative and postoperative outcomes were compared.
RESULTS: A total of 46 patients were analyzed in this study (RLD group = 26, LLD group = 20). No significant differences were found between the two groups in sex, disease type, the median operative age, or the median operative weight. Compared to the LLD group, the RLD group had shorter intra-abdominal operation time [RLD, 71.00 (IQR 63.50-77.00) min; LLD, 84.50 (IQR 75.25-101.00) min; P < 0.001], shorter anastomosis time [RLD, 28.50 (IQR 21.75-35.00) min; LLD, 35.50 (IQR 30.00-41.75) min; P = 0.003] and less blood loss [RLD, 4.00 (IQR 3.00-6.00) ml; LLD, 6.00 (IQR 4.25-8.00) ml; P = 0.001]. However, there was no significant difference in the total operation time between the two groups. Time from surgery to initial oral feeding, time to full oral feeding, length of hospital stay, and postoperative complications did not differ significantly between the two groups.
CONCLUSIONS: Robotic-assisted lateral duodenoduodenostomy can be performed easily with good results for neonatal duodenal obstruction, offering comparable results to traditional LLD.