{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T18:03:02Z","timestamp":1792000982911,"version":"4.4.0"},"reference-count":23,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,9,19]],"date-time":"2024-09-19T00:00:00Z","timestamp":1726704000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare the efficacy of robotic-assisted single-incision-plus-one-port laparoscopic choledochal cyst excision (R-SILC\u2009+\u20091) and single-incision laparoscopic choledochal cyst (SILC) in treating pediatric choledochal cyst (CDC).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively analyzed the clinical data of patients diagnosed with CDC in our hospital from June 2021 to October 2023. Among them, patients underwent either R-SILC\u2009+\u20091 or SILC procedures. Demographic parameters, operative details, and postoperative outcomes were studied.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of forty-nine patients were included, with 23 children undergoing R-SILC\u2009+\u20091 and 26 children undergoing SILC. There were no statistically significant differences in demographic data, postoperative pain scores, and postoperative complication rates between the two groups (all <jats:italic>p<\/jats:italic>\u2009&amp;gt;\u20090.05). Compared with the SILC group, the R-SILC\u2009+\u20091 group demonstrated less intraoperative bleeding volume (10.4\u2009\u00b1\u20093.6 vs. 15.0\u2009\u00b1\u20093.6\u2009ml, <jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.05), a shorter indwelling time of the abdominal drainage tube [5(5,6) vs. 7(5.8,8.3) d, <jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.05], a shorter postoperative fasting time [4(3,4) vs. 6(5,7) d, <jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.05], and a shorter postoperative discharge time [6(6,7) vs. 8(6,11) d, <jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.05]. However, the R-SILC\u2009+\u20091 group had a longer operation time [388(295,415) vs. 341(255.8,375.2) min, <jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.05] and higher hospitalization cost (7.9\u2009\u00b1\u20090.4 vs. 3.2\u2009\u00b1\u20090.3 ten thousand, <jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Compared with the SILC group, the R-SILC\u2009+\u20091 group demonstrated clear advantages in treating pediatric CDC, but it is associated with a prolonged learning curve and operation time, and high costs. With improvements in physician experience and technological advancements, its potential will be further unleashed.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fped.2024.1403358","type":"journal-article","created":{"date-parts":[[2024,9,19]],"date-time":"2024-09-19T11:12:51Z","timestamp":1726744371000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["Comparative study of robotic-assisted single-incision-plus-one port and single-incision laparoscopic choledochal cyst 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