ArticleFrontiers in pediatrics2026
Case Report: Robotic-assisted laparoscopic primary repair for pancreaticoduodenal grade V injury in a pediatric patient.
Article in Frontiers in pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: High-grade pancreatic injury is rare but associated with significant mortality and morbidity. There is no consensus on whether nonoperative or operative treatment could result in good clinical outcomes. Minimally invasive surgery has been introduced to manage cases of abdominal trauma, but no application in high-grade pancreaticoduodenal injury has been reported. Case presentation: An 8-year-old boy complained of severe abdominal pain after a bicycle injury. On admission, the patient was hemodynamically stable with elevated serum amylase and lipase levels. Thoracoabdominal computed tomography revealed massive disruption of the pancreatic head with pancreatic duct disruption and gas accumulation in the posterior part of the pancreas indicating localized duodenal perforation. Surgery was indicated and our surgical team chose to perform in a minimally invasive way with robotic assisted laparoscopic system based on the previous successful experience. A massive disruption of the pancreatic head (AAST-OIS grade V in pancreatic injury) and a laceration involving 30% of the circumference of the first part of the duodenum (AAST-OIS grade II in duodenal injury) without biliary system involvement were confirmed during surgery. A partial resection of the devitalized pancreatic head, primary suture of the duodenal laceration, and Roux-en-Y pancreaticojejunostomy with preservation of the pancreatic tail was performed in robotic-assisted laparoscopy. The patient resumed oral feeding on postoperative day 10 and was discharged 14 days postoperatively. At the 1-year follow-up, the patient demonstrated satisfactory recovery without any significant complications. Conclusion: For hemodynamically stable patients with high-grade pancreaticoduodenal injury, operative management is an appropriate therapeutic strategy. Application of robotic surgery may be a potentially optimal choice for primary repair in pediatric severe pancreaticoduodenal injury.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.