机器人外科学杂志（中英文）2025，Vol.6Issue(3)：379-382,4.DOI:10.12180/j.issn.2096-7721.2025.03.005
机器人辅助单孔腹腔镜手术治疗儿童先天性胆总管囊肿(附手术视频)
Robot-assisted laparoscopic single-site surgery for congenital choledochal cysts in children(with surgical video)
摘要
Abstract
Objective:To analyze and summarize the effect and experience of Da Vinci Xi robot-assisted laparoscopic single-site surgery(R-LESS)for treating congenital choledochal cyst in children.Methods:Clinical data of 3 children who underwent R-LESS for choledochal cyst in the Department of Pediatric Surgery of Zhongnan Hospital of Wuhan University from May 2020 to May 2023 were retrospectively analyzed.All children were female,aged 31 days,50 days,and 4 years,respectively.There were onecase of Todani type Ⅰa cyst and 2 cases of type Ⅳa cyst.In the 3 cases,the jejunum was first explored,localized and dragged out in vitro under laparoscopic mode,then jejunum-jejunum end-side anastomosis was performed,followed by robot-assisted single-site laparoscopic cholecystectomy+choledochal cyst excision+hepatic duct-jejunum end-side anastomosis.Results:All the 3 case of surgeries went smoothly without conversion to laparotomy.The average operative time was 252 min and intraoperative bleeding was 5～15 mL.The children started to eat on the 3rd day after surgery,and the average postoperative hospitalization was 7 d.The follow-up period ranged from 6 to 18 months,with a mean length of 12.7 months,and there were no complications such as biliary fistula,pancreatic fistula,or anastomotic stenosis occurred.Conclusion:For the treatment of congenital choledochal cysts in children,R-LESS is both safe and feasible,and the incision could be hidden and aesthetically pleasing.关键词
机器人辅助手术/单孔腹腔镜/胆总管囊肿/儿童Key words
Robot-assisted Surgery/Single-port Laparoscopy/Choledochal Cysts/Children分类
医药卫生引用本文复制引用
杜国伟,高贺云,胡涛,王迎心,刘一帆,骆明双,郭云凯,李庚,张文..机器人辅助单孔腹腔镜手术治疗儿童先天性胆总管囊肿(附手术视频)[J].机器人外科学杂志（中英文）,2025,6(3):379-382,4.基金项目
儿童单孔机器人技术应用研究项目(YYXKNLJS2024020)Research Project on Application of Single-port Robot Technology for Children(YYXKNLJS2024020) （YYXKNLJS2024020）
