Frontiers in pediatrics · 2025
Robotic-assisted thoracoscopic surgery for esophageal duplication cyst in a child: a rare case report and literature insight.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Shu Boshen, Zhang Shufeng, Gao Jian, Wang Lin, Wang Xiaohui
Аннотация
INTRODUCTION: Esophageal duplication cyst (EDC) is a rare congenital anomaly originating from the embryonic foregut. While often asymptomatic, it can present with respiratory symptoms due to compression. We report a rare pediatric case successfully managed using robotic-assisted thoracoscopic surgery (RATS), highlighting the technique's utility in addressing this uncommon foregut malformation.
PRESENTATION OF CASE: An 8-year-old male child, born at term, presented with one week of intermittent left-sided chest pain, bloating, and nausea. Chest radiography demonstrated a high-density mediastinal shadow. Subsequent chest positron emission tomography/computed tomography (PET/CT) and ultrasound (US) revealed a left posterior mediastinal paraspinal cystic mass, necessitating surgical resection. The lesion was diagnosed as an esophageal duplication cyst based on the post-operative pathological report.
DISCUSSION: EDC is a rare congenital condition that can become life-threatening due to compression of vital mediastinal structures, particularly the large airways. Non-invasive imaging modalities, including chest radiography, CT, and US, are essential for diagnosis. Surgical intervention is universally indicated to preempt serious complications. RATS has recently emerged as a promising approach, leveraging its technical advantages for this complex procedure.
CONCLUSION: To the best of our knowledge, the present case represents a unique and extremely rare report of EDC management via the Da Vinci robotic surgical system for a pediatric patient in China. The successful application demonstrates the safety and feasibility of RATS for pediatric EDC, expanding the evidence base for this minimally invasive approach.
PRESENTATION OF CASE: An 8-year-old male child, born at term, presented with one week of intermittent left-sided chest pain, bloating, and nausea. Chest radiography demonstrated a high-density mediastinal shadow. Subsequent chest positron emission tomography/computed tomography (PET/CT) and ultrasound (US) revealed a left posterior mediastinal paraspinal cystic mass, necessitating surgical resection. The lesion was diagnosed as an esophageal duplication cyst based on the post-operative pathological report.
DISCUSSION: EDC is a rare congenital condition that can become life-threatening due to compression of vital mediastinal structures, particularly the large airways. Non-invasive imaging modalities, including chest radiography, CT, and US, are essential for diagnosis. Surgical intervention is universally indicated to preempt serious complications. RATS has recently emerged as a promising approach, leveraging its technical advantages for this complex procedure.
CONCLUSION: To the best of our knowledge, the present case represents a unique and extremely rare report of EDC management via the Da Vinci robotic surgical system for a pediatric patient in China. The successful application demonstrates the safety and feasibility of RATS for pediatric EDC, expanding the evidence base for this minimally invasive approach.