Advances in pediatric surgery

Korean Association of Pediatric Surgeons (대한소아외과학회)
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Initial Experience of Robot-assisted Resection of Choledochal Cyst in Children

소아 담관낭종의 로봇수술의 초기경험

  • Chang, Eun-Young (Department of Pediatric Surgery, Severance Children's Hospital, Yonsei University College of Medicine) ;
  • Chang, Hye-Kyung (Department of Pediatric Surgery, Severance Children's Hospital, Yonsei University College of Medicine) ;
  • Ryu, Seon-Ae (Department of Pediatric Surgery, Severance Children's Hospital, Yonsei University College of Medicine) ;
  • Oh, Jung-Tak (Department of Pediatric Surgery, Severance Children's Hospital, Yonsei University College of Medicine) ;
  • Han, Seok-Joo (Department of Pediatric Surgery, Severance Children's Hospital, Yonsei University College of Medicine)
  • 장은영 (연세대학교 의과대학 외과학교실, 세브란스 어린이병원 소아외과) ;
  • 장혜경 (연세대학교 의과대학 외과학교실, 세브란스 어린이병원 소아외과) ;
  • 류선애 (연세대학교 의과대학 외과학교실, 세브란스 어린이병원 소아외과) ;
  • 오정탁 (연세대학교 의과대학 외과학교실, 세브란스 어린이병원 소아외과) ;
  • 한석주 (연세대학교 의과대학 외과학교실, 세브란스 어린이병원 소아외과)
  • Received : 2011.05.06
  • Accepted : 2011.07.01
  • Published : 2011.06.30
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Abstract

Although laparoscopic surgery for hepatobiliary disease in children is possible, it is technically challenging. In an attempt to overcome these difficulties, the da Vinci Robotic Surgical System$^{(R)}$ was used to facilitate the minimally invasive treatment of choledochal Cyst in six children. In early consecutive three cases, we experienced three complications; a case of laparotomy conversion, a case of late stenosis of the hepaticojejunostomy, and a case of leakage from a hepaticojejunostomy. However, in the last three cases the complete resection of the choledochal cyst and Roux-en-Y hepaticojejunostomy were performed using the robotic surgical system without complication. We think robot-assisted choledochal cyst resection in children appears safe and feasible, and may increase the variety of complex procedures in pediatric surgical fields.

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