临床小儿外科杂志2025，Vol.24Issue(1)：73-78,6.DOI:10.3760/cma.j.cn101785-202407026-013
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
Emergency treatment of complex pancreatoduodenal injuries grade Ⅴ with robot-assisted complete lap-aroscopic pancreatojejunostomy in a child:the first case report
摘要
Abstract
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.关键词
腹腔镜/胰管空肠吻合术/外科手术/儿童/机器人手术Key words
Laparoscope/Pancreaticojejunostomy/Surgical Procedures,Operative/Child/Robotic Surgical Procedures引用本文复制引用
兰梦龙,曾纪晓,徐晓钢,叶志华,刘斐..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[J].临床小儿外科杂志,2025,24(1):73-78,6.基金项目
国家自然科学基金(82170528) （82170528）
广东省自然科学基金(2022A1515012254) （2022A1515012254）
广州市科技计划市校(院)联合资助项目(202201010612、2023A03J0865) （院）
广州地区临床特色技术项目(2023C-TS48) （2023C-TS48）
卫生健康技术重点推广项目(XM202403895) National Natural Science Foundation of China(82170528) （XM202403895）
Natural Science Foundation of Guangdong Province(2022A1515012254) （2022A1515012254）
Municipality and University(Institute)Joint Grant of Guangzhou Municipal Science & Technology Plan(202201010612 & 2023A03J0865) （Institute）
Guangzhou Municipal Project of Clini-cal Characteristic Technology(2023C-TS48) （2023C-TS48）
Key Promotion Project of Health Technology(XM202403895) （XM202403895）
