临床小儿外科杂志2024，Vol.23Issue(11)：1072-1076,5.DOI:10.3760/cma.j.cn101785-202310010-013
机器人辅助腹腔镜儿童胰腺实性假乳头状瘤剜除术的疗效评价
Efficacy evaluation of robot-assisted laparoscopic excision of solid pancreastic pseudopapilloma in children
摘要
Abstract
Objective To evaluate the application of robot-assisted laparoscopy for solid pancreastic pseudopapilloma(SPP)in children.Methods From April 2020 to July 2023,retrospective analysis was con-ducted for the relevant clinical data of 5 SPP children.Lesion sites,imaging examinations,periostoperative labo-ratory tests,operative duration,intraoperative volume of blood loss,drainage tubing time,perioperative complica-tions,length of hospitalization and postoperative pathological examinations were recorded.Results There were 1 boy and 4 girls,ranging in age from 6 years 9 months to 14 years 9 months,with a median age of 10 years 11 months.Weight 21.5-45.0 kg,median weight 29.1 kg.Preoperative imaging examinations of ultrasonogra-phy,enhanced computed tomography(CT)and magnetic resonance imaging(MR1)hinted at SPP.Robot-assis-ted laparoscopic resection was performed with a median operative duration of 103(95-180)min.There was no conversion into open surgery.One child of intraoperative pancreatic duct rupture was repaired.SPP was con-firmed by postoperative pathological examination.The median postoperative hospitalization stay was 14(7-20)day.Preoperative leucocyte count was 7.600(7.300,10.000)×109/L,high-sensitivity C-reactive protein(Hs-CRP)0.200(0.200,0.460)mg/L,alanine aminotransferase(ALT)11.000(9.000,17.000)U/L,aspartate aminotransferase(AST)24.000(21.000,35.000)U/L,amylase 67.700(62.900,107.10)U/L,lipase 23.500(21.200,53.700)U/L;Postoperative leucocyte count was 5.190(5.070,5.590)×109/L,Hs-CRP 7.520(1.080,7.800)mg/L,ALT 17.000(15.00,34.000)U/L,AST 35.000(28.000,42.000)U/L,amyl-ase 95.700(73.000104.400)U/L,lipase 62.300(58.900,64.000)U/L.The comparison of leucocyte count,Hs-CRP,ALT,AST,amylase and lipase before and after surgery showed p-values greater than 0.05.There were no statistically significant differences.All of them were discharged smoothly.During a follow-up period of 2 to 36 month,there was no onset of pancreatitis,pancreatic leakage,pancreatic duct stenosis or recurrence.Conclu-sions For SPP children,robot-assisted laparoscopy is both safe,mini-invasive and feasible with distinct anatomy,precise handling and quick postoperative recovery.关键词
机器人手术/腹腔镜/胰腺肿瘤/外科手术/儿童Key words
Robotic Surgery/Laparoscopy/Pancreatic Tumor/Surgical Procedures,Operative/Child引用本文复制引用
宣笑笑,张书豪,蔡多特,高志刚,罗文娟,陈肯,胡迪,陈青江..机器人辅助腹腔镜儿童胰腺实性假乳头状瘤剜除术的疗效评价[J].临床小儿外科杂志,2024,23(11):1072-1076,5.基金项目
浙江省自然科学基金(LY20H030007) Natural Science Foundation of Zhejiang Province(LY20H030007) （LY20H030007）
