首页|达芬奇机器人手术治疗小儿环状胰腺的初步经验

达芬奇机器人手术治疗小儿环状胰腺的初步经验

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目的 总结我院使用达芬奇机器人手术治疗小儿环状胰腺的近期疗效和初步经验.方法 回顾性分析我院2020年10月~2022年12月应用达芬奇机器人手术治疗3例小儿环状胰腺的临床资料.结果 3例均在机器人辅助下顺利完成十二指肠侧侧吻合术,无术中并发症.手术时间分别为240分钟、212分钟、135分钟,术后开始进食时间分别为12天、7天、6天,术后住院时间分别为33天、18天、13天,第一例患儿术后并发新生儿坏死性小肠结肠炎,予以保守治疗后治愈出院,其余2例痊愈出院.随访时间分别为2年、3个月、5个月,随访期间未出现相关并发症,3例患儿预后良好.结论 达芬奇机器人手术治疗小儿环状胰腺是一个安全可行的选择,但尚需大样本研究支持.
Da Vinci Robot-assisted laparoscopic surgery for pediatric annular pancreas
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 240 min,212 min,135 min,respectively.Postoperative feeding was started at 12 d,7 d,and 6 d,respectively.The postoperative hospital stays were 33 d,18 d,and 13 d,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.

Da Vinci robot surgery systemlaparoscopyannular pancreaspediatric

肖必栋、孙润物、付康、鲁巍

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430016 武汉,华中科技大学同济医学院附属武汉儿童医院新生儿外科

达芬奇机器人手术系统 腹腔镜 环状胰腺 小儿

2024

临床外科杂志
中华医学会湖北分会

临床外科杂志

CSTPCD
影响因子:0.716
ISSN:1005-6483
年,卷(期):2024.32(1)
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