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. 2023 Dec 26;409(1):18.
doi: 10.1007/s00423-023-03208-5.

Robot-assisted resection of benign splenic tumors in children

Duote Cai  1 , Yan Ying  1 , Jiani Fan  2 , Yi Jin  1 , Zongwei Huang  1 , Yuebin Zhang  1 , Shuhao Zhang  1 , Qingjiang Chen  1 , Zhigang Gao  3
Affiliations

Robot-assisted resection of benign splenic tumors in children

Duote Cai et al. Langenbecks Arch Surg. .

Abstract

Purpose: Robotic surgery is becoming increasingly widely used in the field of pediatric surgery. The present study aimed to evaluate the safety and feasibility of robot-assisted resection of benign pediatric splenic tumors and to discuss the technical points.

Methods: A total of 32 patients who were diagnosed with benign splenic tumors and underwent minimally invasive surgery from January 2017 to September 2023 were included in the study. The clinical data including demographic criteria, operative details, and postoperative outcomes were analyzed retrospectively.

Results: Thirteen patients underwent robot-assisted surgery, and 19 patients underwent laparoscopic surgery. The median operation time was 150 min, with an interquartile range (IQR) of 120 to 200 min for the robot-assisted group and 140 min with an IQR of 105 to 180 min in the laparoscopic group (P = 0.318). Despite four cases in the laparoscopic group (21%) being converted to laparotomy because of intraoperative bleeding, compared with none in the robot-assisted group, there was no significant difference between two groups (P = 0.128). The intraoperative volume of blood loss was significantly less (P = 0.041), and the hospitalization expense was significantly higher (P = 0.000) in the robot-assisted group than for the laparoscopic group. There was no significant difference in patients' age, tumor size, postoperative feeding time, and the postoperative hospitalization time between two groups (P > 0.05).

Conclusion: Robot-assisted benign splenic tumor resection was safe and feasible, and it reduced surgical trauma for the pediatric patient.

Keywords: Benign splenic tumor; Pediatric; Robot-assisted; Surgery.

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Conflict of interest statement

The authors declare no competing interests.

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
A Robot-assisted surgery: No. 1, 2, and 3 are the position of Da Vinci trocars; no. 4 is the position of auxiliary hole for placing the laparoscopic trocar. B Laparoscopic surgery: No. 1, 2, 3, and 4 are the position of laparoscopic trocars
Fig. 2
Fig. 2
A For total splenectomy, the splenic artery and vein were ligated with silk thread and Hem-o-lok. B For partial splenectomy, the diseased splenic lobar vessels were selectively ligated by using Hem-o-lok and silk thread. C A clear demarcation of ischemic zone on the spleen surface. D The harmonic scalpel was used to resect the splenic parenchyma in the ischemic zone. E Hemostasis on the transection surface of the splenic remnant was completed using electrocoagulation
See this image and copyright information in PMC

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