{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T23:09:32Z","timestamp":1784243372075,"version":"3.55.0"},"reference-count":12,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur J Pediatr Surg"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Focal forms of congenital hyperinsulinism (FoCHI) are rare pediatric conditions managed using established metabolic and surgical protocols. To date, the use of a robotic approach for this surgery in children has not been described. We present our initial experience with robotic pancreatectomy, compared with the open approach, for the management of FoCHI.<\/jats:p>\n                  <jats:p>We conducted a retrospective, single-center study involving 25 children who underwent pancreatectomy for CHI between 2011 and 2024. Collected data included patient demographics, surgical details, complications, and post-operative outcomes. The Da Vinci Xi robotic system was used for all robotic procedures.<\/jats:p>\n                  <jats:p>Ten patients underwent robotic pancreatectomy, and 10 underwent open surgery; five children treated laparoscopically were excluded. There were no significant differences between the robotic and open groups in median weight at surgery (7.7\u2009kg vs. 7.3\u2009kg, p\u2009=\u20090.7), median age (7 months vs. 5.9 months, p\u2009=\u20090.48), median operative time (298\u2009minutes vs. 285\u2009minutes, p\u2009=\u20090.5), length of stay (14 days vs. 14.5 days, p\u2009=\u20090.26), or time to postoperative feeding resumption (4 days vs. 4.5 days, p\u2009=\u20090.68). Intraoperatively, 80% of lesions were visible on the pancreatic surface. Two cases of incomplete resection occurred in each group; after multidisciplinary review, both patients in the robotic group required a second procedure. No intraoperative bleeding or conversions were reported. The overall cure rate was 90% in the robotic group and 80% in the open surgery group.<\/jats:p>\n                  <jats:p>This preliminary study suggests that robotic pancreatectomy for congenital hyperinsulinism may be both safe and feasible. The robotic approach provides enhanced visualization of small vessels, enabling limited dissection and safe resection. Given the sample size, further studies are required to confirm these findings.<\/jats:p>","DOI":"10.1055\/a-2785-7843","type":"journal-article","created":{"date-parts":[[2026,1,31]],"date-time":"2026-01-31T00:09:11Z","timestamp":1769818151000},"page":"285-291","source":"Crossref","is-referenced-by-count":0,"title":["Robotic versus Open Pancreatectomy for Focal Congenital Hyperinsulinism in Infants: A Single-Center Study"],"prefix":"10.1055","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3255-2523","authenticated-orcid":false,"given":"Claire","family":"Dagorno","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Necker-Enfants Malades Hospitals, Paris, \u00cele-de-France, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maxime","family":"Koffi","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Necker-Enfants Malades Hospitals, Paris, \u00cele-de-France, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louise","family":"Galmiche","sequence":"additional","affiliation":[{"name":"Department of Pathology, Necker-Enfants Malades Hospitals, Paris, \u00cele-de-France, France"},{"name":"Department of Pathology, CHU Nantes, Nantes, Pays de la Loire, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yves","family":"Aigrain","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Necker-Enfants Malades Hospitals, Paris, \u00cele-de-France, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cecile S.","family":"Martin","sequence":"additional","affiliation":[{"name":"Department of Medical Genetics, Hopital Universitaire Pitie-Salpetriere, Paris, \u00cele-de-France, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fran\u00e7oise","family":"Montravers","sequence":"additional","affiliation":[{"name":"Nuclear Medicine Department, Tenon Hospital, Paris, \u00cele-de-France, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dominique","family":"Berrebi","sequence":"additional","affiliation":[{"name":"Department of Pediatric Pathology, Robert-Debr\u00e9 Mother-Child University Hospital, Paris, \u00cele-de-France, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefania","family":"Querciagrossa","sequence":"additional","affiliation":[{"name":"Anesthesia and Intensive Care Department, Necker-Enfants Malades Hospitals, Paris, \u00cele-de-France, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valeria","family":"Taurisano","sequence":"additional","affiliation":[{"name":"Anesthesia and Intensive Care Department, Necker-Enfants Malades Hospitals, Paris, \u00cele-de-France, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivier","family":"Bustarret","sequence":"additional","affiliation":[{"name":"Anesthesia and Intensive Care Department, Necker-Enfants Malades Hospitals, Paris, \u00cele-de-France, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juliette","family":"Bouchereau","sequence":"additional","affiliation":[{"name":"Reference Center for Inherited Metabolic Diseases Department, Imagine Institute, Paris, \u00cele-de-France, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire Marine","family":"Berat","sequence":"additional","affiliation":[{"name":"Reference Center for Inherited Metabolic Diseases Department, Imagine Institute, Paris, \u00cele-de-France, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pascale","family":"De Lonlay","sequence":"additional","affiliation":[{"name":"Reference Center for Inherited Metabolic Diseases Department, Necker-Enfants Malades Hospitals, Paris, \u00cele-de-France, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Barbet","sequence":"additional","affiliation":[{"name":"Department of Pathology, FranceHopital Universitaire Necker-Enfants Malades, Paris, \u00cele-de-France, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Baptiste","family":"Arnoux","sequence":"additional","affiliation":[{"name":"Reference Center for Inherited Metabolic Diseases Department, Necker-Enfants Malades Hospitals, Paris, \u00cele-de-France, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmen","family":"Capito","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery and Urology, Hopital universitaire Necker-Enfants Malades, Paris, \u00cele-de-France, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,1,30]]},"reference":[{"issue":"05","key":"ref1","first-page":"566","article-title":"The 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Canesin","year":"2025","journal-title":"CRSLS"},{"issue":"02","key":"ref9","doi-asserted-by":"crossref","first-page":"306","DOI":"10.1089\/lap.2007.0166","article-title":"Feasibility and safety of laparoscopic adrenalectomy in children: special emphasis on neoplastic lesions","volume":"18","author":"S Al-Shanafey","year":"2008","journal-title":"J Laparoendosc Adv Surg Tech A"},{"issue":"01","key":"ref10","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1053\/j.sempedsurg.2010.10.009","article-title":"Surgical management of congenital hyperinsulinism of infancy","volume":"20","author":"A Pierro","year":"2011","journal-title":"Semin Pediatr Surg"},{"issue":"02","key":"ref11","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1007\/s11701-018-0835-0","article-title":"Robotic-assisted, spleen-preserving distal pancreatectomy for a solid pseudopapillary tumour in a pediatric patient: a case report and review of the literature","volume":"13","author":"R Lalli","year":"2019","journal-title":"J Robot Surg"},{"issue":"01","key":"ref12","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1186\/s12957-017-1265-6","article-title":"First experience of robotic spleen-preserving distal pancreatectomy in a child with insulinoma","volume":"15","author":"M G Hu","year":"2017","journal-title":"World J Surg Oncol"},{"issue":"04","key":"ref13","doi-asserted-by":"crossref","first-page":"554","DOI":"10.1097\/SLA.0b013e3182a4e87c","article-title":"250 robotic pancreatic resections: safety and feasibility","volume":"258","author":"A H Zureikat","year":"2013","journal-title":"Ann Surg"}],"container-title":["European Journal of Pediatric Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2785-7843.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T22:45:30Z","timestamp":1784241930000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2785-7843"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,30]]},"references-count":12,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2026,7,16]]},"published-print":{"date-parts":[[2026,8]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2785-7843","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0939-7248","1439-359X"],"issn-type":[{"value":"0939-7248","type":"print"},{"value":"1439-359X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,30]]}}}