Robotic-assisted choledochal cyst surgery in infants: are we operating too early?

Authors

Rani Kassir

Published in

Pediatric surgery international. Volume 42. Issue 1. Aug 28, 2026. Epub Aug 28, 2026.

Abstract

Zhang et al. report the largest single-center experience of robotic-assisted choledochal cyst resection in children, including a substantial proportion of infants. However, the indications for surgery in neonates and young infants remain unclear, particularly in the absence of data on symptomatic status. Early surgery involves technical challenges and may carry a higher risk of anastomotic stricture, potentially underestimated given limited follow-up. Emerging evidence supports delaying intervention in asymptomatic patients, allowing growth and risk stratification. Furthermore, the risk of malignant transformation is negligible in infancy. While robotic surgery is a valuable advancement, its availability should not determine timing of intervention without clear clinical justification.

PMID:
42663727
Bibliographic data and abstract were imported from PubMed on 29 Aug 2026.

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