首个单端口机器人辅助儿童胆总管囊肿切除及肝空肠吻合术

IF 2.3 3区医学 Q2 SURGERY

International Journal of Medical Robotics and Computer Assisted Surgery Pub Date : 2025-02-27 DOI:10.1002/rcs.70054

Eunyoung Jung

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引用次数: 0

摘要

胆总管囊肿是一种先天性异常，需要手术干预、典型切除和肝空肠吻合术。达芬奇单端口（SP）机器人系统为儿科患者提供了一种具有潜在益处的微创方法。方法采用SP机器人辅助胆总管囊肿切除及肝空肠吻合术治疗2例患儿。详细介绍了手术技术、系统描述和手术结果。结果两例手术均成功完成，出血量少，无术中并发症。患者在术后第3天过渡到软性饮食，并在第6天出院，无并发症。6个月的随访显示超声检查和实验室检查正常。结论达芬奇SP系统可实现精确的单切口手术，提高了手术的可操作性和可视性，证明了小儿胆总管囊肿切除和肝空肠吻合术的安全性和可行性。需要进一步的研究在更大的儿科人群中证实这些发现。

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The First Single-Port Robotic-Assisted Excision of Choledochal Cyst and Hepaticojejunostomy in Children

Background

Choledochal cysts are congenital anomalies requiring surgical intervention, typical excision and hepaticojejunostomy. The da Vinci single-port (SP) robotic system offers a minimally invasive approach with potential benefits for paediatric patients.

Methods

This study describes the SP robotic-assisted resection of choledochal cysts and hepaticojejunostomy in two paediatric patients. Surgical techniques, system description, and procedural outcomes were detailed.

Results

Both surgeries were successfully completed with minimal blood loss and no intraoperative complications. Patients transitioned to a soft diet by postoperative day 3 and were discharged by day 6 without complications. Follow-up at 6 months showed normal sonography and laboratory findings.

Conclusions

The da Vinci SP system facilitated precise single-incision surgery with improved manoeuvrability and visualisation, demonstrating safety and feasibility for paediatric choledochal cyst excision and hepaticojejunostomy. Further studies are warranted to confirm these findings across larger paediatric populations.

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来源期刊

International Journal of Medical Robotics and Computer Assisted Surgery 医学-外科

CiteScore

4.50

自引率

12.00%

发文量

131

审稿时长

6-12 weeks

期刊介绍： The International Journal of Medical Robotics and Computer Assisted Surgery provides a cross-disciplinary platform for presenting the latest developments in robotics and computer assisted technologies for medical applications. The journal publishes cutting-edge papers and expert reviews, complemented by commentaries, correspondence and conference highlights that stimulate discussion and exchange of ideas. Areas of interest include robotic surgery aids and systems, operative planning tools, medical imaging and visualisation, simulation and navigation, virtual reality, intuitive command and control systems, haptics and sensor technologies. In addition to research and surgical planning studies, the journal welcomes papers detailing clinical trials and applications of computer-assisted workflows and robotic systems in neurosurgery, urology, paediatric, orthopaedic, craniofacial, cardiovascular, thoraco-abdominal, musculoskeletal and visceral surgery. Articles providing critical analysis of clinical trials, assessment of the benefits and risks of the application of these technologies, commenting on ease of use, or addressing surgical education and training issues are also encouraged. The journal aims to foster a community that encompasses medical practitioners, researchers, and engineers and computer scientists developing robotic systems and computational tools in academic and commercial environments, with the intention of promoting and developing these exciting areas of medical technology.