Work

Comparing robot-assisted versus laparoscopic Ladd's procedure in children with congenital intestinal malrotation

Year: 2025

Type: article

Abstract: The aim of this study was to perform a comparative analysis of robot-assisted versus laparoscopic Ladd's procedure on peri- and postoperative outcomes. All Ladd's procedures performed on patients with congenital intestinal malrotation between January 2020 and December 2023 were identified. Peri- and postoperative data were collected and compared between robot-assisted and laparoscopic groups. Fifty-seven robot-assisted and 38 laparoscopic Ladd's procedure cases were identified and compared for outcomes. No robotic cases were converted to open procedure, while four laparoscopic cases were converted to open procedure (p = 0.048). Although robotic cases suffered higher hospitalization costs (p < 0.001), the postoperative complication rate was lower for the robotic group compared to the laparoscopic group (p = 0.038). Robot-assisted Ladd's surgery is safe and effective for the treatment of congenital intestinal malrotation in children, reducing the difficulty of surgery, but at increased cost.

Source: Updates in Surgery

DOI: 10.1007/s13304-025-02177-2

Authors: Ken Chen, Shuhao Zhang, Qingjiang Chen, Zhigang Gao

Institutions: Children's Hospital of Zhejiang University, Zhejiang University

Language: English

Topic: Intestinal Malrotation and Obstruction Disorders

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $3,790