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Feasible Techniques in Robotic Thoracoscopic Repair of Congenital Esophageal Atresia: Case Report and Literature Review

Overview
Journal Surg Case Rep
Specialty General Surgery
Date 2021 Jun 21
PMID 34150469
Citations 3
Authors
Shuai Li
Guoqing Cao
Rongchao Zhou
Xi Zhang
Ying Zhou
Shao-Tao Tang
Affiliations
Soon will be listed here.
Abstract

Background: Robotic repair for esophageal atresia (EA) using da Vinci system is challenging. Specific surgical techniques need to be explored to overcome the current hurdles.

Case Presentation: Two cases with EA (type I and type III by Gross classification, respectively) were repaired using da Vinci robotic system. Step trocar insertion and asymmetric ports distribution techniques were used. The mean weight was 3.2 kg. Operative times were 95 min totally, with the anastomotic time of 27.5 min. Follow-up duration was 12 months. Esophageal fistula reoccurred in one case. None was confirmed anastomotic stricture.

Conclusion: Step trocar insertion procedure and asymmetric ports distribution technique are effective in robotic esophageal atresia.

Citing Articles

Comparison of robotic versus thoracoscopic repair for congenital esophageal atresia: a propensity score matching analysis.

Zhang M, Huang J, Jin Z, Zhang X, Zhou Y, Chi S Int J Surg. 2023; 110(2):891-901.

PMID: 37983822 PMC: 10871573. DOI: 10.1097/JS9.0000000000000889.

Robotic-assisted surgery in the pediatric surgeons' world: Current situation and future prospectives.

Mei H, Tang S Front Pediatr. 2023; 11:1120831.

PMID: 36865692 PMC: 9971628. DOI: 10.3389/fped.2023.1120831.

Robotic approach for pediatric pulmonary resection: preliminary investigation and comparative study with thoracoscopic approach.

Li S, Luo Z, Li K, Li Y, Yang D, Cao G J Thorac Dis. 2022; 14(10):3854-3864.

PMID: 36389324 PMC: 9641347. DOI: 10.21037/jtd-22-526.

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