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      Ensuring safety and feasibility for resection of pediatric benign ovarian tumors by single-port robot-assisted laparoscopic surgery using the da Vinci Xi system

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          Abstract

          Background

          Single-port robot-assisted laparoscopic surgery (S-RALS) is rarely applied in pediatric surgery. There is still no study on the application of S-RALS for resection of pediatric benign ovarian tumors. The current study aimed to investigate the safety and feasibility of S-RALS for resection of pediatric benign ovarian tumors using the da Vinci Xi system.

          Methods

          The clinical data of three patients who underwent S-RALS for resection of benign ovarian tumors in the Department of Pediatric Surgery, Zhongnan Hospital of Wuhan University from May 2020 to September 2021 were retrospectively analyzed. The mean age of these children was 7.9 years (5.8–9.3 years). One was a case of bilateral ovarian tumors, and the other two were cases of right ovarian tumors.

          Results

          All three patients successfully underwent the resection of ovarian tumors through S-RALS without conversion to laparotomy. The average operation time was 180 min (118–231 min). The average amount of blood loss was 20 ml (10–35 ml). No drainage tube was placed. All postoperative pathological types of ovarian tumors were mature cystic teratomas in the three cases. All patients started a liquid diet 2 h after surgery. The average length of postoperative hospital stay was 4.7 days (3–7 days). No tumor recurred, no surgical site hernia occurred, and the wound healed very well with a cosmetic scar in the lower umbilical crease during the postoperative follow-up for 6–18 months.

          Conclusion

          S-RALS has the advantages of less surgical trauma, quick postoperative recovery, and a cosmetic scar in the lower umbilical crease. It is safe, effective, and feasible for pediatric benign ovarian tumors.

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          Most cited references33

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          Review of emerging surgical robotic technology.

          The use of laparoscopic and robotic procedures has increased in general surgery. Minimally invasive robotic surgery has made tremendous progress in a relatively short period of time, realizing improvements for both the patient and surgeon. This has led to an increase in the use and development of robotic devices and platforms for general surgery. The purpose of this review is to explore current and emerging surgical robotic technologies in a growing and dynamic environment of research and development.
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            The influence of unilateral oophorectomy on the age of menopause.

            To determine the age of menopause after premenopausal unilateral oophorectomy (UO) and to establish whether UO at a young age leads to menopause at a younger age than if UO occurs at an older age.
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              Pediatric Robotic Surgery

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                Author and article information

                Contributors
                Journal
                Front Surg
                Front Surg
                Front. Surg.
                Frontiers in Surgery
                Frontiers Media S.A.
                2296-875X
                19 August 2022
                2022
                : 9
                : 944662
                Affiliations
                [ 1 ]Department of Pediatric Surgery, Zhongnan Hospital of Wuhan University , Wuhan, China
                [ 2 ]Department of Ultrasound Imaging, Zhongnan Hospital of Wuhan University , Wuhan, China
                [ 3 ]Department of Urology, Zhongnan Hospital of Wuhan University , Wuhan, China
                [ 4 ]Department of Gynaecology, Zhongnan Hospital of Wuhan University , Wuhan, China
                Author notes

                Edited by: Giovanna Riccipetitoni, San Matteo Hospital Foundation (IRCCS), Italy

                Reviewed by: Gulnur Gollu, Sameh Shehata, Alexandria University, Egypt

                [* ] Correspondence: Wen Zhang wzhang115@ 123456163.com
                [ † ]

                These authors have contributed equally to this work

                Specialty Section: This article was submitted to Pediatric Surgery, a section of the journal Frontiers in Surgery

                Abbreviations S-RALS, single-port robot-assisted laparoscopic surgery; SPLS, single-port laparoscopic surgery; RALS, robot-assisted laparoscopic surgery; MRI, magnetic resonance imaging; CT, computerized tomography; AFP, alpha fetoprotein; NSE, neuron-specific enolase; VMA, vanillylmandelic acid

                Article
                10.3389/fsurg.2022.944662
                9437548
                36061048
                8a966f3e-e3b9-4ba4-b651-7d943e77c3c5
                © 2022 Xu, Gao, Yu, Huang, Lu, Yang, Zhang and Zhang.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 15 May 2022
                : 11 July 2022
                Page count
                Figures: 5, Tables: 2, Equations: 0, References: 33, Pages: 0, Words: 0
                Funding
                Funded by: The Youth Talent Project of The Health Commission of Hubei Province, China
                Award ID: WJ2019Q050
                Categories
                Surgery
                Original Research

                single-port robot-assisted laparoscopic surgery,pediatric,resection,benign ovarian tumors,da vinci xi

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