Robot-assisted resection of gastric duplication cysts in a child: a detailed case report


Submitted: 24 May 2018
Accepted: 30 October 2018
Published: 4 December 2018
Abstract Views: 1553
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Authors

  • Riccardo Rizzo Department of Pediatric Surgery, “Spirito Santo” Hospital, Pescara; “G. d’Annunzio” University, Chieti-Pescara, Italy.
  • Gabriele Lisi Department of Pediatric Surgery, “Spirito Santo” Hospital, Pescara; “G. d’Annunzio” University, Chieti-Pescara, Italy.
  • Nino Marino Department of Pediatric Surgery, “Spirito Santo” Hospital, Pescara; “G. d’Annunzio” University, Chieti-Pescara, Italy.
  • Giuseppe Lauriti Department of Pediatric Surgery, “Spirito Santo” Hospital, Pescara; “G. d’Annunzio” University, Chieti-Pescara, Italy.
  • Dacia Di Renzo Department of Pediatric Surgery, “Spirito Santo” Hospital, Pescara; “G. d’Annunzio” University, Chieti-Pescara, Italy.
  • Pierluigi Lelli Chiesa Department of Pediatric Surgery, “Spirito Santo” Hospital, Pescara; “G. d’Annunzio” University, Chieti-Pescara, Italy.

Gastric duplication cysts (GDCs) represent 4-9% of alimentary tract duplications. Early diagnosis and surgical excision are essential to avoid morbidity or neoplastic degeneration. Roboticassisted excision of GDCs has never been described in childhood. We report an asymptomatic male patient with 2 gastric cystic masses at ultrasonography (US)-study (diameter 25mm and 8mm), increasing in size at follow-up. At 20 months of age, magnetic- resonance-imaging-scan confirmed 2 round gastric masses (44×35mm and 16×12mm, respectively). Two months later, an elective robotic-assisted excision of GDCs was completed without complications. The patient was discharged at day 6 after procedure. Histology confirmed the diagnosis of GDCs. At a 2-year follow- up, US-study did not evidence any issue. In this first reported case of robotic-assisted cystectomy for CGD in childhood, the procedure seems safe, effective, and feasible. This approach improves the movements of the surgical instruments with better 3- D visualization in comparison with the laparoscopic approach.


Rizzo, R., Lisi, G., Marino, N., Lauriti, G., Di Renzo, D., & Lelli Chiesa, P. (2018). Robot-assisted resection of gastric duplication cysts in a child: a detailed case report. La Pediatria Medica E Chirurgica, 40(2). https://doi.org/10.4081/pmc.2018.203

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