Technical performance, surgical workload and patient outcomes of robotic and laparoscopic surgery for pediatric choledochal cyst: a multicenter retrospective cohort and propensity score-matched study.

ABSTRACT:

Background

Robotic surgery (RS) and laparoscopic surgery (LS) are increasingly used for pediatric choledochal cysts (CC); however, it remains unclear which technique is superior. We aimed to compare the clinical outcomes, technical performance and surgical workload between RS and LS.

Methods

From January 2014 to February 2023, 604 CC patients (RS =302, LS =302) were enrolled in this multicenter retrospective cohort study after propensity score matching. Surgical videos were rated for technical performance using the Objective Structured Assessments of Technical Skills (OSATS) and Generic Error Rating Tool instruments.

Results

During follow-up, overall complication rates were similar between two groups, but RS group had lower anastomotic stricture rate (1.32% vs.

SUBMITTER: Zhang MX 

PROVIDER: S-EPMC12521014 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature