Evidence map›Paper›PMID 40596919›Full record

ArticleBMC pediatrics2025

Comparative analysis of Da Vinci robotic surgery and laparoscopic surgery for congenital choledochal cyst in neonates.

Xilin Liao, Zebing Zheng, Huijuan Wang, Yu Liao, Qing Du, Lu Huang, Chengyan Tang, Yuan Gong, Zeping Li, Daiwei Zhu and 2 more

Abstract readComparative Study
In one paragraph

Article in BMC pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Xilin LiaoDepartment of Pediatric Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Zebing ZhengDepartment of Pediatric Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Huijuan WangDepartment of Pediatric Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Yu LiaoDepartment of Pediatric Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Qing DuDepartment of Pediatric Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Lu HuangDepartment of Pediatric Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Chengyan TangDepartment of Pediatric Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Yuan GongDepartment of Pediatric Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Zeping LiDepartment of Pediatric Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Daiwei ZhuDepartment of Pediatric Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Yuanmei LiuDepartment of Pediatric Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Zhu JinDepartment of Pediatric Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, China. Jinzhu100622@zmu.edu.cn.

Funding

Qianhe Foundation-ZK[2023] General 555 Qianhe Foundation-ZK[2023] General 555
6 · The paper itself

Abstract

objectiveThis study aims to compare and analyze the clinical efficacy and safety of Da Vinci robotic surgery (RS) versus traditional laparoscopic surgery (LS) for the treatment of congenital choledochal cyst (CCC) in neonates.

methodsWe retrospectively analyzed sixty-seven neonatal cases of CCC admitted to our hospital between December 2018 and December 2024. The cases were categorized into the robotic group (n = 32) and the laparoscopic group (n = 35) based on the surgical technique employed. We systematically compared baseline data, intraoperative metrics, and postoperative recovery between the two groups, focusing on total operative time, biliary-intestinal anastomosis time, and postoperative recovery outcomes.

resultsThe two groups were comparable regarding baseline characteristics such as age, gender, weight, and cyst diameter (P > 0.05), with no significant differences in preoperative general conditions (P > 0.05); The total operative time was longer for RS compared to LS (208.54 ± 10.43 min vs. 194.54 ± 17.21 min, P = 0.016). However, the time required for biliary-intestinal anastomosis was shorter in RS (38.25 ± 9.78 min vs. 52.40 ± 9.83 min, P < 0.001), and intraoperative bleeding was significantly lower (P < 0.05); Postoperative abdominal drainage was significantly reduced in RS, with a shorter duration for drainage tube removal, demonstrating a statistically significant difference (P < 0.05). There was no statistically significant difference in the overall complication rate between the two groups.

conclusionDa Vinci robotic-assisted surgery is safe and feasible for the treatment of neonatal CCC. RS offers advantages such as a shorter biliary-intestinal anastomosis time, reduced tissue trauma, and faster recovery, warranting its promotion in neonatal surgical practices.

trial registrationRetrospectively registered.

Indexed as

Choledochal CystLaparoscopyRobotic Surgical ProceduresFemaleHumansInfant, NewbornMaleOperative TimePostoperative ComplicationsRetrospective StudiesTreatment OutcomeCongenital choledochal cyst(CCC)Laparoscopic surgery(LS)NeonateRobotic surgery (RS)

Identifiers

PMID40596919
PMCPMC12219033

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.