Comparation of robotic-assisted surgery and laparoscopic‑assisted surgery in children with Hirschsprung’s disease: a single-centered retrospective study
Shuhao Zhang,
Duote Cai,
Yuebin Zhang,
Tao Pan,
Ken Chen,
Yi Jin,
Wenjuan Luo,
Zongwei Huang,
Di Hu,
Qingjiang Chen,
Zhigang Gao
Affiliations
Shuhao Zhang
Department of General Surgery, The Children’s Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health
Duote Cai
Department of General Surgery, The Children’s Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health
Yuebin Zhang
Department of General Surgery, The Children’s Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health
Tao Pan
Department of General Surgery, The Children’s Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health
Ken Chen
Department of General Surgery, The Children’s Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health
Yi Jin
Department of General Surgery, The Children’s Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health
Wenjuan Luo
Department of General Surgery, The Children’s Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health
Zongwei Huang
Department of General Surgery, The Children’s Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health
Di Hu
Department of General Surgery, The Children’s Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health
Qingjiang Chen
Department of General Surgery, The Children’s Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health
Zhigang Gao
Department of General Surgery, The Children’s Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health
Abstract Background There are few studies comparing robotic-assisted surgery (RAS) and laparoscopic-assisted surgery (LAS) in Hirschsprung’s disease (HSCR). This study aimed to compare intraoperative and postoperative outcomes between RAS and LAS performed during the same period. Methods All consecutive 75 patients with pathologically diagnosed as HSCR who underwent Swenson pull-through surgery from April 2020 to Nov 2022, were included. Patients were divided into RAS group and LAS group and a retrospective analysis was performed based on clinical indexes and prognosis. Results A total of 75 patients were included, among which, 31 patients received RAS and 44 received LAS. The RAS and LAS groups had similar ages, sex, weight, postoperative hospital stays, and fasting times. Compared with LAS, blood loss (p = 0.002) and the incidence of Hirschsprung-associated enterocolitis (p = 0.046) were significantly lower in the RAS group. The first onset of Hirschsprung-associated enterocolitis in patients younger than 3 months occurred significantly earlier (p = 0.043). Two patients experienced anastomotic leakage in the LAS group and one patient experienced incisional hernia in the RAS group. The cost of RAS was significantly higher than that of LAS (p 3 months) may improve outcomes.
