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Copyright of Journal of Clinical Pediatric Surgery is the property of Journal of Clinical Pediatric Surgery Editorial Office and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective To summarize the outcomes of robotic-assisted surgical system for congenital intestinal malrotation (CIM). Methods From August 2020 to June 2021, 15 CIM neonates underwent robotic-assisted surgery. The relevant clinical data、Surgery-related data, postoperative recovery were collected retrospectively. By analyzing the preoperative, intraoperative and prognosis of the children, The robotic-assisted surgical system for congenital intestinal malrotation was summarized. Results Of the 15 children, 13 were male and 2 female; gestational age 36+ 2 to 40+ 4 weeks; 2 premature infants, 13 term infants; 7 caesarean section, 8 vaginal delivery; operation age (11.7±5.9) d; weight (3 065±377) g; Preoperative ultrasound test showed that 7 cases with volvulus 720, 5 cases with volvulus 540, 3 cases with volvulus 360; 12 cases with biliary vomiting, 3 cases with non-biliary vomiting; 4 cases with combined atrial septal defect, 2 cases with complicated patent artery duct, 2 cases with combined ventricular septal defect and the remaining 7 cases without cardiac malformation. All of them underwent robotic-assisted procedures without any conversion into open surgery. The average operative duration was (57±8) min, the average system installation time (14±3) min, the average intra-abdominal pressure (IAP)(5.6±0.3)mmHg and the average end-tidal carbon dioxide (38.4±4.3) mmHg. The intra-operative bleeding volume was from 1 to 3 ml, the average mechanical ventilation time (5.2±1.8) hours, the average Initial oral feeding time (3.1±1.2) days, the average sufficient feeding time (7.2±1.8) days and the average hospitalization time (12.1±2.7) days. One child was re-operated due to an obstruction of focal intestinal adhesion. Another case was hospitalized for 27 days and it was significantly longer than other children due to abnormal intestinal motility. The remainders recovered well with no postoperative complications such as vomiting, abdominal distension or incision infection. During postoperative follow-ups, all of them were well fed with satisfactory surgical incision healing and normal growth and development. Conclusion Robot-assisted surgery is both safe and feasible for neonatal CIM and offers excellent outcomes. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Clinical Pediatric Surgery is the property of Journal of Clinical Pediatric Surgery Editorial Office and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Tianjin Medical Journal is the property of Tianjin Medical Journal and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)