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연세대학교 의과대학 Yonsei Medical Journal Yonsei Medical Journal 제56권 제3호
발행연도
2015.1
수록면
737 - 743 (7page)

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Purpose: We evaluated the validity of robotic surgery (RS) for pediatric choledochalcyst (CC) in comparison to open surgery (OS). Materials and Methods: From January 2009 to April 2013, clinical data from 79 consecutive pediatric patientswith CC, who underwent RS (n=36) or OS (n=43) performed by a single pediatricsurgeon, were analyzed retrospectively. Results: In the RS group, the age of the patients was significantly older, compared to the OS group. Operation and anesthesiatimes were significantly longer in the RS group than the OS group. Fluid input rates to maintain the same urine output were significantly smaller in the RS group than the OS group. The American Society of Anesthesiologists (ASA) physicalstatus, length of postoperative hospital stay, and the incidence of surgical complicationsdid not differ significantly between the two groups. Conclusion: Althoughearly complications could not be avoided during the development of robotic surgical techniques, RS for pediatric CC showed results comparable to those for OS. We believe that RS may be a valid and alternative surgery for pediatric CC. After further development of robotic surgical systems and advancement of surgical techniques therewith, future prospective studies may reveal more positive results.

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