Abstract: Objective   Summarizing the recent efficacy and initial experience of using da Vinci robot surgery for pediatric annular pancreas in our hospital. Methods   The clinical data of 3 children with annular pancreas treated by Da Vinci robotic surgery in Wuhan Children’s Hospital from October 2020 to December 2022 were retrospectively analyzed. Results   All three cases were successfully completed with robot-assisted lateral duoduodenal anastomosis without intraoperative complications.The operation time was 240min,212min,135min,respectively.Postoperative feeding was started at 12d,7d,and 6d,respectively.The postoperative hospital stays were 33d,18d,and 13d,respectively.The first case was complicated with neonatal necrotizing enterocolitis after operation,and was cured and discharged after conservative treatment.The remaining 2 cases were cured and discharged.The follow-up time was 2 years,3 months and 5 months,respectively.No relevant complications occurred during the follow-up period,and the prognosis of the three children was good. Conclusion   Da Vinci robotic surgery is safe and feasible in the treatment of annular pancreas in children,but it still needs to be supported by large sample studies.

Key words: Da Vinci robot surgery system, laparoscopy, annular pancreas, pediatric