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Clinical data of 106 children with PDA who underwent robot-assisted endoscopic operation were retrospectively analyzed from August, 2020 to March, 2022. Demographic and preoperative data were collected, including the patient\u2019s age, weight, diameter of the ductus arteriosus, operation time, length of postoperative hospital stay, postoperative complications and hospitalization cost. The age ranged from 6\u00a0months to 12\u00a0years with median age of 2.5\u00a0years. In addition, the weight ranged from 6.6\u00a0kg (kg) to 51.6\u00a0kg with median weight of 12.5\u00a0kg. Patients who received transcatheter PDA closure were also enrolled during the same period. Clinical features and perioperative data were compared between the two groups. All the 106 cases underwent robotically assisted surgery for PDA ligation. No one was converted to thoracotomy. The length of operation time was 15\u201384\u00a0min, with an average of 39.4\u00a0min. There was no obvious bleeding during the operation. The length of postoperative hospital stays were 1\u20133\u00a0days, with an average of 1.1\u2009\u00b1\u20090.2\u00a0days, which was significantly shorter than that of patients underwent transcatheter approach PDA closure (2.2\u2009\u00b1\u20090.2\u00a0days) (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.05). The average hospitalization costs were US$ 8180 in the 106 patients, which were more expensive than that of ones who received transcatheter procedure (US$ 5076\u2009\u00b1\u2009406) (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.05). Only one case was found to have residual ductus shunt during early postoperative follow-up. One case was found with recurrent laryngeal nerve injury. The two cases recovered after 3\u00a0months of follow-up. The median duration of follow-up was 12 (1\u201320) months. No other short-term complications occurred during the follow-up period. Robotic surgical technique for PDA ligation in children is a safe, effective and reliable surgical method with less trauma, faster recovery and fewer surgical risks. This approach should be considered as an option in children patients requiring PDA ligation.\n                  <\/jats:p>","DOI":"10.1007\/s11701-023-01537-7","type":"journal-article","created":{"date-parts":[[2023,1,16]],"date-time":"2023-01-16T12:02:58Z","timestamp":1673870578000},"page":"1371-1379","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Application of robot-assisted endoscopic technique in the treatment of patent ductus arteriosus in 106 children"],"prefix":"10.1007","volume":"17","author":[{"given":"Liyang","family":"Ying","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xueke","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiwang","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zheng","family":"Tan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiangen","family":"Yu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lijun","family":"Yang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qiang","family":"Shu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2023,1,16]]},"reference":[{"key":"1537_CR1","doi-asserted-by":"publisher","first-page":"1873","DOI":"10.1161\/CIRCULATIONAHA.105.592063","volume":"114","author":"DJ Schneider","year":"2006","unstructured":"Schneider DJ, Moore JW (2006) Patent ductus arteriosus. 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This study protocol was approved by the Ethics Committee of Children\u2019s Hospital Zhejiang University School of Medicine.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics statement"}}]}}