ArticleSurgical endoscopy2025
Robotic versus laparoscopic approaches to neonatal annular pancreas: a comparative analysis of surgical outcomes and innovation trade-offs.
Article in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.
What it found
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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.
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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.
Who cites it
1 citing paper in PubMed.
- Annular Pancreas Presenting with Intermittent Duodenal Obstruction in Early Childhood: A Diagnostic Masquerade.Reports (MDPI) · 2026Article
Corrections and comments
- Erratum issued
Authors and funding
15 authors.
Funding
Abstract
objectiveTo evaluate the safety and to efficacy of robotic-assisted duodenoduodenostomy (RAD) and laparoscopic-assisted duodenoduodenostomy (LAD) for neonatal annular pancreas and analyze its associated learning curve.
methodsA retrospective analysis of 59 neonates undergoing minimally invasive DS (2019-2024) was performed. Patients were stratified into robotic (RAD, n = 25) and laparoscopic (LAD, n = 34) cohorts. Perioperative outcomes (operative time, anastomosis time, blood loss, drainage duration, complications) were compared. Learning curves for console docking and intracorporeal manipulation were assessed using cumulative sum (CUSUM) analysis.
resultsRAD demonstrated significantly shorter anastomosis time (35.6 ± 2.4 min vs. 47.0 ± 4.1 min, P < 0.05), reduced blood loss (median 4.0 ml vs. 6.0 ml, P < 0.05), and earlier drain removal (median 4.0 vs. 5.0 days, P < 0.05) compared to LAD. operative time was longer for RAD (179.3 ± 21.1 min vs. 156.9 ± 23.1 min, P < 0.05), attributed to docking time (22.2 ± 5.9 min) and the learning curve. Complication rates were comparable (16.0% vs. 26.5%, P = 0.537), with no anastomotic leaks, strictures or reoperations in either group. CUSUM analysis identified proficiency thresholds: docking time plateaued at case 13, and intracorporeal manipulation stabilized after 10 cases. Preliminary analysis within the first 20 cases suggests a 20-case threshold may be critical procedural mastery.
conclusionRAD is a safe and effective approach for neonatal annular pancreas, demonstrating superior precision to laparoscopy. While requiring a longer initial operative time, RAD provides significant advantages in anastomotic efficiency and hemostasis once the learning curve is overcome.
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Registered trials
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