{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,4]],"date-time":"2026-01-04T02:45:33Z","timestamp":1767494733039},"reference-count":26,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,4,13]],"date-time":"2024-04-13T00:00:00Z","timestamp":1712966400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,4,13]],"date-time":"2024-04-13T00:00:00Z","timestamp":1712966400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Surg"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>Patent processus vaginalis (PPV) is usually observed in pediatric abdominal surgery; however, robotic single-port surgery in repairing processus vaginalis has not been reported in children. Herein, we present our clinical experiences in single-port robotic surgeries for PPV repair to evaluate both efficacy and safety.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Retrospective analysis of patients underwent single-port robotic-assisted laparoscopic surgery for genitourinary diseases from May 2020 and May 2023 in our center. Among these patients, 21 children had PPV repaired at the same time. The case characteristics and follow-up data were recorded.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Twenty-one of the 53 children were found to have PPV during genitourinary surgery. The simultaneous treatment of the primary disease and PPV with a single-port robotic-assisted platform was both convenient and safe. There was no significant increase in total operation time, and no excessive intraoperative hemorrhage was observed in any of the operations. There were no complications observed on follow-up.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>With a high incidence of PPV in children, a single-port robotic-assisted procedure is feasible and effective if simultaneously performed when addressing a primary abdominal disease.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12893-024-02392-5","type":"journal-article","created":{"date-parts":[[2024,4,13]],"date-time":"2024-04-13T09:01:53Z","timestamp":1712998913000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Single-port robotic-assisted laparoscopic synchronous surgery in pediatric patent processus vaginalis"],"prefix":"10.1186","volume":"24","author":[{"given":"Geng","family":"Li","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heyun","family":"Gao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shanzhen","family":"Yu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yunkai","family":"Guo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tao","family":"Hu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yifan","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guowei","family":"Du","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guangbin","family":"Huang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wen","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,4,13]]},"reference":[{"issue":"4","key":"2392_CR1","doi-asserted-by":"publisher","first-page":"865","DOI":"10.1016\/j.clp.2017.08.005","volume":"44","author":"S Abdulhai","year":"2017","unstructured":"Abdulhai S, Glenn IC, Ponsky TA. Inguinal hernia. Clin Perinatol. 2017;44(4):865\u201377. https:\/\/doi.org\/10.1016\/j.clp.2017.08.005.","journal-title":"Clin Perinatol"},{"issue":"6","key":"2392_CR2","doi-asserted-by":"publisher","first-page":"874","DOI":"10.1016\/s0022-3468(98)90664-9","volume":"33","author":"DM Miltenburg","year":"1998","unstructured":"Miltenburg DM, Nuchtern JG, Jaksic T, Kozinetiz C, Brandt ML. Laparoscopic evaluation of the pediatric inguinal hernia\u2013a meta-analysis. J Pediatr Surg. 1998;33(6):874\u20139. https:\/\/doi.org\/10.1016\/s0022-3468(98)90664-9.","journal-title":"J Pediatr Surg"},{"key":"2392_CR3","first-page":"315","volume-title":"Inguinal hernias in babies and children","author":"R Miller","year":"2018","unstructured":"Miller R, Clarke S. Inguinal hernias in babies and children. Cham: Springer International Publishing; 2018. pp. 315\u201333."},{"issue":"4","key":"2392_CR4","doi-asserted-by":"publisher","first-page":"1087","DOI":"10.1007\/s00464-018-6359-x","volume":"33","author":"Y Li","year":"2019","unstructured":"Li Y, Wu Y, Wang C, Wang Q, Zhao Y, Ji Y, Xiang B. Incidence of pediatric metachronous contralateral inguinal hernia and the relationship with contralateral patent processus vaginalis. Surg Endosc. 2019;33(4):1087\u201390. https:\/\/doi.org\/10.1007\/s00464-018-6359-x.","journal-title":"Surg Endosc"},{"issue":"5","key":"2392_CR5","doi-asserted-by":"publisher","first-page":"684","DOI":"10.1016\/s0022-3468(99)90356-1","volume":"34","author":"LD Tackett","year":"1999","unstructured":"Tackett LD, Breuer CK, Luks FI, Caldamone AA, Breuer JG, Deluca FG, Caesar RE, Efthemiou E, Wesselhoeft CJ. Incidence of contralateral inguinal hernia: a prospective analysis. J Pediatr Surg. 1999;34(5):684\u20137. https:\/\/doi.org\/10.1016\/s0022-3468(99)90356-1.","journal-title":"J Pediatr Surg"},{"issue":"12","key":"2392_CR6","doi-asserted-by":"publisher","first-page":"1746","DOI":"10.1053\/jpsu.2000.19239","volume":"35","author":"H Ikeda","year":"2000","unstructured":"Ikeda H, Suzuki N, Takahashi A, Kuroiwa M, Sakai M, Tsuchida Y. Risk of contralateral manifestation in children with unilateral inguinal hernia: should hernia in children be treated contralaterally? J Pediatr Surg. 2000;35(12):1746\u20138. https:\/\/doi.org\/10.1053\/jpsu.2000.19239.","journal-title":"J Pediatr Surg"},{"issue":"2","key":"2392_CR7","doi-asserted-by":"publisher","first-page":"431","DOI":"10.1016\/j.suc.2019.12.004","volume":"100","author":"N Denning","year":"2020","unstructured":"Denning N, Kallis MP, Prince JM. Pediatric robotic surgery. Surg Clin North Am. 2020;100(2):431\u201343. https:\/\/doi.org\/10.1016\/j.suc.2019.12.004.","journal-title":"Surg Clin North Am"},{"issue":"4","key":"2392_CR8","doi-asserted-by":"publisher","first-page":"858","DOI":"10.1016\/j.jpedsurg.2013.01.031","volume":"48","author":"TP Cundy","year":"2013","unstructured":"Cundy TP, Shetty K, Clark J, Chang TP, Sriskandarajah K, Gattas NE, Najmaldin A, Yang G, Darzi A. The first decade of robotic surgery in children. J Pediatr Surg. 2013;48(4):858\u201365. https:\/\/doi.org\/10.1016\/j.jpedsurg.2013.01.031.","journal-title":"J Pediatr Surg"},{"issue":"6","key":"2392_CR9","doi-asserted-by":"publisher","first-page":"602","DOI":"10.1089\/end.2011.0252","volume":"26","author":"JJ Tomaszewski","year":"2012","unstructured":"Tomaszewski JJ, Casella DP, Turner RM, Casale P, Ost MC. Pediatric laparoscopic and robot-assisted laparoscopic surgery: technical considerations. J Endourol. 2012;26(6):602\u201313. https:\/\/doi.org\/10.1089\/end.2011.0252.","journal-title":"J Endourol"},{"key":"2392_CR10","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1016\/j.ijsu.2019.06.001","volume":"68","author":"OJ Muensterer","year":"2019","unstructured":"Muensterer OJ, Gianicolo E. Contralateral processus closure to prevent metachronous inguinal hernia: a systematic review. Int J Surg. 2019;68:11\u20139. https:\/\/doi.org\/10.1016\/j.ijsu.2019.06.001.","journal-title":"Int J Surg"},{"issue":"7","key":"2392_CR11","doi-asserted-by":"publisher","first-page":"982","DOI":"10.4103\/0366-6999.154327","volume":"128","author":"XQ Yan","year":"2015","unstructured":"Yan XQ, Zheng NN, Xing FZ, Yu L, Lu W, Duan XF, Yang J, Bian HQ. Incidence and concurrent laparoscopic repair of hypertrophic pyloric stenosis and patent processus vaginalis. Chin Med J (Engl). 2015;128(7):982\u20134. https:\/\/doi.org\/10.4103\/0366-6999.154327.","journal-title":"Chin Med J (Engl)"},{"issue":"4","key":"2392_CR12","doi-asserted-by":"publisher","first-page":"783","DOI":"10.1007\/s10029-019-01895-y","volume":"23","author":"IG Ho","year":"2019","unstructured":"Ho IG, Ihn K, Koo EJ, Oh JT. A study of contralateral persistent processus vaginalis in laparoscopic hernia repair in children. Hernia. 2019;23(4):783\u20137. https:\/\/doi.org\/10.1007\/s10029-019-01895-y.","journal-title":"Hernia"},{"issue":"1","key":"2392_CR13","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1055\/s-0033-1354586","volume":"24","author":"A Zani","year":"2014","unstructured":"Zani A, Eaton S, Hoellwarth M, Puri P, Tovar J, Fasching G, Bagolan P, Lukac M, Wijnen R, Kuebler J, Cecchetto G, Rintala R, Pierro A. Management of pediatric inguinal hernias in the era of laparoscopy: results of an international survey. Eur J Pediatr Surg. 2014;24(1):9\u201313. https:\/\/doi.org\/10.1055\/s-0033-1354586.","journal-title":"Eur J Pediatr Surg"},{"issue":"2","key":"2392_CR14","doi-asserted-by":"publisher","first-page":"95","DOI":"10.4103\/jmas.JMAS_213_16","volume":"14","author":"M Raicevic","year":"2018","unstructured":"Raicevic M, Saxena A. Laparoscopic management of m\u00fcllerian duct remnants in the paediatric age: evidence and outcome analysis. J Minim Access Surg. 2018;14(2):95. https:\/\/doi.org\/10.4103\/jmas.JMAS_213_16.","journal-title":"J Minim Access Surg"},{"issue":"8","key":"2392_CR15","doi-asserted-by":"publisher","first-page":"880","DOI":"10.1097\/00000478-199908000-00004","volume":"23","author":"CK Steigman","year":"1999","unstructured":"Steigman CK, Sotelo-Avila C, Weber TR. The incidence of spermatic cord structures in inguinal hernia sacs from male children. Am J Surg Pathol. 1999;23(8):880\u20135. https:\/\/doi.org\/10.1097\/00000478-199908000-00004.","journal-title":"Am J Surg Pathol"},{"issue":"8","key":"2392_CR16","doi-asserted-by":"publisher","first-page":"869","DOI":"10.1097\/00000478-199908000-00001","volume":"23","author":"LP Dehner","year":"1999","unstructured":"Dehner LP. Inguinal hernia in the male child: where the latest skirmish line has formed. Am J Surg Pathol. 1999;23(8):869\u201371. https:\/\/doi.org\/10.1097\/00000478-199908000-00001.","journal-title":"Am J Surg Pathol"},{"issue":"3","key":"2392_CR17","doi-asserted-by":"publisher","first-page":"185","DOI":"10.1089\/pei.1997.1.185","volume":"1","author":"MA El-Gohary","year":"1997","unstructured":"El-Gohary MA. Laparoscopic ligation of inguinal hernia in girls. Pediatr Endosurgery Innovative Techniques. 1997;1(3):185\u20138. https:\/\/doi.org\/10.1089\/pei.1997.1.185.","journal-title":"Pediatr Endosurgery Innovative Techniques"},{"issue":"11","key":"2392_CR18","doi-asserted-by":"publisher","first-page":"2210","DOI":"10.1016\/j.jpedsurg.2010.07.004","volume":"45","author":"R Shalaby","year":"2010","unstructured":"Shalaby R, Ismail M, Dorgham A, Hefny K, Alsaied G, Gabr K, Abdelaziz M. Laparoscopic hernia repair in infancy and childhood: evaluation of 2 different techniques. J Pediatr Surg. 2010;45(11):2210\u20136. https:\/\/doi.org\/10.1016\/j.jpedsurg.2010.07.004.","journal-title":"J Pediatr Surg"},{"issue":"2","key":"2392_CR19","doi-asserted-by":"publisher","first-page":"111","DOI":"10.1089\/lap.2013.0429","volume":"24","author":"H Zhong","year":"2014","unstructured":"Zhong H, Wang F. Contralateral metachronous hernia following negative laparoscopic evaluation for contralateral patent processus vaginalis: a meta-analysis. J Laparoendosc Adv Surg Tech A. 2014;24(2):111\u20136. https:\/\/doi.org\/10.1089\/lap.2013.0429.","journal-title":"J Laparoendosc Adv Surg Tech A"},{"issue":"1","key":"2392_CR20","doi-asserted-by":"publisher","first-page":"113","DOI":"10.1016\/j.ucl.2020.09.008","volume":"48","author":"S Mittal","year":"2021","unstructured":"Mittal S, Srinivasan A. Robotics in pediatric urology: evolution and the future. Urol Clin North Am. 2021;48(1):113\u201325. https:\/\/doi.org\/10.1016\/j.ucl.2020.09.008.","journal-title":"Urol Clin North Am"},{"issue":"Suppl 7","key":"2392_CR21","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1308\/rcsann.supp2.18","volume":"100","author":"J Cave","year":"2018","unstructured":"Cave J, Clarke S. Paediatric robotic surgery. Ann R Coll Surg Engl. 2018;100(Suppl 7):18\u201321. https:\/\/doi.org\/10.1308\/rcsann.supp2.18.","journal-title":"Ann R Coll Surg Engl"},{"issue":"3","key":"2392_CR22","doi-asserted-by":"publisher","first-page":"276","DOI":"10.1016\/j.jpurol.2011.04.005","volume":"8","author":"ST O\u2019Brien","year":"2012","unstructured":"O\u2019Brien ST, Shukla AR. Transition from open to robotic-assisted pediatric pyeloplasty: a feasibility and outcome study. J Pediatr Urol. 2012;8(3):276\u201381. https:\/\/doi.org\/10.1016\/j.jpurol.2011.04.005.","journal-title":"J Pediatr Urol"},{"issue":"4","key":"2392_CR23","doi-asserted-by":"publisher","first-page":"434","DOI":"10.1089\/lap.2016.0484","volume":"27","author":"A Rosales-Velderrain","year":"2017","unstructured":"Rosales-Velderrain A, Alkhoury F. Single-port robotic cholecystectomy in pediatric patients: single institution experience. J Laparoendosc Adv Surg Tech A. 2017;27(4):434\u20137. https:\/\/doi.org\/10.1089\/lap.2016.0484.","journal-title":"J Laparoendosc Adv Surg Tech A"},{"key":"2392_CR24","doi-asserted-by":"publisher","first-page":"106122","DOI":"10.1016\/j.ijscr.2021.106122","volume":"84","author":"G Klazura","year":"2021","unstructured":"Klazura G, Sims T, Rojnica M, Koo N, Lobe T. Single port robotic splenectomy for pyruvate kinase deficiency in a five-year-old patient, a case report of a surgical first. Int J Surg Case Rep. 2021;84:106122. https:\/\/doi.org\/10.1016\/j.ijscr.2021.106122.","journal-title":"Int J Surg Case Rep"},{"issue":"2","key":"2392_CR25","doi-asserted-by":"publisher","first-page":"109","DOI":"10.1590\/0102-6720201600020011","volume":"29","author":"HR Bosi","year":"2016","unstructured":"Bosi HR, Guimar\u00e3es JR, Cavazzola LT. Robotic assisted single site for bilateral inguinal hernia repair. ABCD Arquivos Brasileiros De Cirurgia Digestiva (S\u00e3o Paulo). 2016;29(2):109\u201311. https:\/\/doi.org\/10.1590\/0102-6720201600020011.","journal-title":"ABCD Arquivos Brasileiros De Cirurgia Digestiva (S\u00e3o Paulo)"},{"issue":"11","key":"2392_CR26","doi-asserted-by":"publisher","first-page":"1346","DOI":"10.1089\/lap.2021.0301","volume":"31","author":"MT Hey","year":"2021","unstructured":"Hey MT, Mayhew MM, Rico S, Calisto J, Alkhoury F. Initial experience with robotic inguinal hernia repair in the adolescent population. J Laparoendosc Adv Surg Tech A. 2021;31(11):1346\u201350. https:\/\/doi.org\/10.1089\/lap.2021.0301.","journal-title":"J Laparoendosc Adv Surg Tech A"}],"container-title":["BMC Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12893-024-02392-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12893-024-02392-5\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12893-024-02392-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,13]],"date-time":"2024-04-13T09:03:20Z","timestamp":1712999000000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcsurg.biomedcentral.com\/articles\/10.1186\/s12893-024-02392-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,13]]},"references-count":26,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["2392"],"URL":"https:\/\/doi.org\/10.1186\/s12893-024-02392-5","relation":{},"ISSN":["1471-2482"],"issn-type":[{"value":"1471-2482","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,13]]},"assertion":[{"value":"3 January 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 March 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 April 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All guardians of patients gave written informed consent before participation in this study. The study was approved by the Medical Ethics Committee of Wuhan University Zhongnan Hospital (2022003\u00a0K).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"109"}}