Abstract
BackgroundRobotic repair for esophageal atresia (EA) using da Vinci system is challenging. Specific surgical techniques need to be explored to overcome the current hurdles.Case presentationTwo 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.ConclusionStep trocar insertion procedure and asymmetric ports distribution technique are effective in robotic esophageal atresia.
Highlights
Robotic repair for esophageal atresia (EA) using da Vinci system is challenging
Step trocar insertion procedure and asymmetric ports distribution technique are effective in robotic esophageal atresia
Meehan et al initiated a study focused on small children, which presented 45 patients of less than
Summary
Step trocar insertion procedure and asymmetric ports distribution technique are effective in robotic esophageal atresia. Highlights Robot surgery system has unique advantages in the narrow space, but its application in neonatal surgery is still controversial and challenging. Trocar insertion into the narrow intercostal space and prevention to decrease instruments collision were the current main hurdles. As the first report on the procedure details of robotic esophageal atresia surgery, the Step procedure and the asymmetric ports distribution technique perfectly solved these above problems
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