Journal of pediatric surgery · 2025
Robotic-Assisted Patent Ductus Arteriosus Ligation in Children.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Liu XiWang, Jin Jie, Zhang XiCheng, Fan XiangMing, Yu JianGen, Gao ZhiGang, Gao Qiang, Shu Qiang, Ying LiYang
Аннотация
BACKGROUND: There is limited experience of robotic-assisted surgery for patent ductus arteriosus (PDA) treatment in children. In the present study, we update the experience of robotic PDA ligation in a larger number of pediatric populations.
METHODS: From August 2020 to March 2025, 425 children with PDA who underwent robot-assisted thoracoscopic surgery were enrolled in Children's Hospital of Zhejiang University School of Medicine. The patients' demographic data together with their perioperative clinical variables were retrospectively analyzed.
RESULTS: The average age of the patients was 34.2 ± 26.2 months which ranged from 6 months to 13 years with a median age of 24 months. The average weight was 14.8 ± 7.1 kg (kg) which ranged from 6 kg to 66 kg with a median weight of 13.2 kg. There were 160 (37.6 %) boys and 265 (62.4 %) girls respectively. In addition, the PDA diameter was between 0.2 cm (cm) and 0.8 cm, with a median diameter of 0.3 cm (average was 0.38 ± 0.25 cm). The robot system operation surgery time ranged from 12 min (min) to 90 min, with a median 26 min (average was 45.6 ± 31.9 min). The length of hospital stay ranged from 1 day to 5 days over all. Notably, 263 patients (61.9 % in all patients) underwent day surgery management.
CONCLUSIONS: Robotic assisted surgery for PDA ligation in children older than 6 months old is safe and effective procedure with good prospects. As a minimally invasive approach, it should be considered as an option for PDA treatment in children with age older than 6 months.
METHODS: From August 2020 to March 2025, 425 children with PDA who underwent robot-assisted thoracoscopic surgery were enrolled in Children's Hospital of Zhejiang University School of Medicine. The patients' demographic data together with their perioperative clinical variables were retrospectively analyzed.
RESULTS: The average age of the patients was 34.2 ± 26.2 months which ranged from 6 months to 13 years with a median age of 24 months. The average weight was 14.8 ± 7.1 kg (kg) which ranged from 6 kg to 66 kg with a median weight of 13.2 kg. There were 160 (37.6 %) boys and 265 (62.4 %) girls respectively. In addition, the PDA diameter was between 0.2 cm (cm) and 0.8 cm, with a median diameter of 0.3 cm (average was 0.38 ± 0.25 cm). The robot system operation surgery time ranged from 12 min (min) to 90 min, with a median 26 min (average was 45.6 ± 31.9 min). The length of hospital stay ranged from 1 day to 5 days over all. Notably, 263 patients (61.9 % in all patients) underwent day surgery management.
CONCLUSIONS: Robotic assisted surgery for PDA ligation in children older than 6 months old is safe and effective procedure with good prospects. As a minimally invasive approach, it should be considered as an option for PDA treatment in children with age older than 6 months.