Advances in Pediatric Surgery

"Robotic surgical procedures"

Case Report

[English]

Robot-Assisted Hepatectomy in Pediatrics: Two Case Reports of Single Center: Jueun Park, Suhyeon Ha, Hyunhee Kwon, Jung-Man Namgoong, Dae Yeon Kim; Adv Pediatr Surg 2024;30(2):73-79. Published online June 10, 2024; DOI: https://doi.org/10.13029/aps.2024.30.2.73

Abstract
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Since the first introduction of robotic surgery systems in Korea in 2005, there has been a gradual increase in the number of robotic surgeries performed. However, robotic liver resection is one of the most complex procedures, and its application, especially to children, is still limited. Therefore, in this study, we aim to present our experiences with 2 pediatric patients who underwent robotic liver resection in Asan Medical Center and discuss the safety and feasibility of robot-assisted hepatectomy in pediatrics.

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Original Article

[English]

Perioperative Outcomes and Surgical Indications of Minimally Invasive Pancreatectomy for Solid Pseudopapillary Tumor in Pediatric Patients: Chong Won Lee, Jung-Man Namgoong, Dae Yeon Kim, Seong Chul Kim, Soo Young Lee, Yujeong Cho, Hyunhee Kwon; Adv Pediatr Surg 2018;24(2):76-85. Published online December 10, 2018; DOI: https://doi.org/10.13029/aps.2018.24.2.76

Abstract
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Purpose

We evaluated perioperative and long-term outcomes of minimally invasive surgery (MIS) and established indications of MIS in solid pseudopapillary tumor (SPT) in pediatric patients.

Methods

From October 1992 to April 2018, 66 patients (age, <18 years) diagnosed with SPT underwent either open pancreatectomy (OP) or MIS. Variables including postoperative complications and recurrence rates were retrospectively analyzed.

Results

Thirty-five patients underwent open surgery and 31 underwent laparoscopic/robotic surgery. Mean tumor size in MIS was significantly smaller than that in OP (4.3±1.8 cm vs. 7.6±3.5 cm, p=0.005). There were 4 cases of open conversion from laparoscopic surgery because of vessel encasements (n=2), bleeding (n=1), and pancreatic ductal injury (n=1). Solitary pseudopapillary carcinoma was diagnosed in 6 patients. Recurrence was observed in 3 and 1 patients who underwent OP and MIS, respectively (p=0.634). Tumor size, mass size/abdominal diameter (MS/AD) ratio, and degree of the portal or superior mesenteric vein involvement were the most important indications for MIS.

Conclusion

MIS is being widely used in pediatric surgeries with increased expertise and safety, especially in pancreatic diseases. Careful patient selection for MIS in regards with parameters such as MS/AD ratio and vessel abutment might be a feasible choice.