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01-12-2024 | Research

Comparison of robotic vs. laparoscopic treatment in pediatric ovarian benign tumors

Authors: XiaoLi Chen, Yi Chen, BinBin Yang, DuoTe Cai, YueBing Zhang, QingJiang Chen, JinHu Wang, ZhiGang Gao

Published in: Langenbeck's Archives of Surgery | Issue 1/2024

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Abstract

Objective

To compare the differences in surgical outcomes of robot-assisted treatment and laparoscopy for benign ovarian tumors among pediatric patients.

Methods

A total of 39 patients underwent robot-assisted surgery, and their outcomes were compared with 55 patients treated with laparoscopy during the same period by the same surgeons.

Results

There were no significant differences between the two groups in terms of age (7.5 ± 4.5 vs. 8.8 ± 3.8 years, p = 0.2496), weight (29.3 ± 17.7 vs. 31.7 ± 14.6 kg, p = 0.4383), or tumor size (5.0 ± 3.3 vs. 5.1 ± 3.8 cm, p = 0.8541). However, the operative time was significantly longer in the robotic surgery group (102.7 ± 33.5 vs. 89.3 ± 50.9 min, p = 0.0112). There was no significant difference in intraoperative blood loss. Fewer patients in the robotic surgery group opted for day surgery compared to the laparoscopy group (15.4% vs. 54.5%, p < 0.001). There was no significant difference in the length of hospital stay between the two groups of patients who chose inpatient surgery (5.6 ± 3.4 vs. 4.4 ± 2.9 d, p = 0.1213). There was no conversion to open surgery and no early postoperative complications in both groups.

Conclusion

Robot-assisted surgery and laparoscopy yield comparable outcomes for the treatment of benign ovarian tumors in children, although robotic surgery has a longer operative time.
Literature
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go back to reference Ciro E, Vincenzo C, Mariapina C et al (2022) Review of a 25-Year experience in the management of ovarian masses in neonates, children and adolescents: from Laparoscopy to Robotics and Indocyanine green fluorescence technology. Children 9. https://doi.org/10.3390/children9081219 Ciro E, Vincenzo C, Mariapina C et al (2022) Review of a 25-Year experience in the management of ovarian masses in neonates, children and adolescents: from Laparoscopy to Robotics and Indocyanine green fluorescence technology. Children 9. https://​doi.​org/​10.​3390/​children9081219
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go back to reference Steinberg PL, Merguerian PA, Bihrle W et al (2008) A Da Vinci robot system can make sense for a mature laparoscopic prostatectomy program. J Soc Laparoendosc Surg 12:9–12 Steinberg PL, Merguerian PA, Bihrle W et al (2008) A Da Vinci robot system can make sense for a mature laparoscopic prostatectomy program. J Soc Laparoendosc Surg 12:9–12
Metadata
Title
Comparison of robotic vs. laparoscopic treatment in pediatric ovarian benign tumors
Authors
XiaoLi Chen
Yi Chen
BinBin Yang
DuoTe Cai
YueBing Zhang
QingJiang Chen
JinHu Wang
ZhiGang Gao
Publication date
01-12-2024
Publisher
Springer Berlin Heidelberg
Published in
Langenbeck's Archives of Surgery / Issue 1/2024
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI
https://doi.org/10.1007/s00423-024-03543-1
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