机器人辅助完全腹腔镜下手术一期治疗胰十二指肠Ⅴ级复合损伤OA北大核心

Objective To summarize the first case of surgical experience of emergency treatment of com-plex pancreatoduodenal injuries with robot-assisted complete laparoscopic pancreatojejunostomy in a child with pancreaticoduodenal injuries.Methods A retrospective analysis was conducted for the diagnosis and treatment of an 8-year-old boy with pancreaticoduodenal injuries grade Ⅴ undergoing robot-assisted surgery in June 2024.This report summarized Trocar layout,operative essentials,perioperative management and treatment outcomes.Results He was admitted because of abdominal pain and vomiting for 29 h after abdomen injury of a bicycle handlebar.Preoperative imaging examination revealed pancreatic head rupture and duodenal perforation.Robot-assisted complete laparoscopic duodenal repair and pancreaticojejunostomy were performed.Da Vinci robotic surgical system was utilized with a 4-arm method and 1 auxiliary hole.Operative duration was 11 h and intraop-erative volume of blood loss 50 mL.And 1 U of red blood cell suspension was transfused during operation.After operation,acid suppression,hemostasis,somatostatin and intravenous nutrition were offered.There were no seri-ous postoperative complications such as hemorrhage,pancreatic fistula,biliary fistula or intestinal fistula.Dis-charge occurred at Day 14 post-operation.Conclusions Emergency robot-assisted laparoscopic duodenal re-pair pancreatojejunostomy is both safe and effective for children with combined pancreaticoduodenal injuries,with rapid postoperative recovery and short hospitalization stay.