Wellen Cristina Canesin, Raphael Del Roio Liberatore Junior, Alberto Facury Gaspar, Fábio Perecin Volpe, Mariá Liborio Pereira Leite, José Sebastião Dos Santos, Lourenço Sbragia
{"title":"机器人辅助腹腔镜治疗婴儿先天性高胰岛素血症1例。","authors":"Wellen Cristina Canesin, Raphael Del Roio Liberatore Junior, Alberto Facury Gaspar, Fábio Perecin Volpe, Mariá Liborio Pereira Leite, José Sebastião Dos Santos, Lourenço Sbragia","doi":"10.4293/CRSLS.2025.00024","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Congenital hyperinsulinism (CHI) is a heterogeneous genetic disease characterized by increased insulin secretion, in which dysregulation of insulin secretion by pancreatic β cells causes persistent hypoglycemia in neonates and infants. Babies diagnosed with CHI require preferentially minimal invasive surgical treatment with near-total pancreatectomy (NTP).</p><p><strong>Material and methods: </strong>CHI was treated with robotic-assisted laparoscopy (RAL).</p><p><strong>Results: </strong>The authors present an unreported case of CHI in an infant less than 10 kg, which was submitted to NTP treated by RAL. The procedure was performed with 3 arms of Da Vinci robot using adaptable size of trocars and the surgery was well succeeded.</p><p><strong>Conclusions: </strong>The RAL is a challenge in pediatric pancreatic surgery to CHI due to the size of the trocars. To our knowledge, this is the first case reported in the English literature of an infant weighing less than 10 kg having been submitted to NTP by RAL.</p>","PeriodicalId":72723,"journal":{"name":"CRSLS : MIS case reports from SLS","volume":"12 2","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12080616/pdf/","citationCount":"0","resultStr":"{\"title\":\"Correction of Congenital Hyperinsulinism by Robotic-Assisted Laparoscopy in an Infant.\",\"authors\":\"Wellen Cristina Canesin, Raphael Del Roio Liberatore Junior, Alberto Facury Gaspar, Fábio Perecin Volpe, Mariá Liborio Pereira Leite, José Sebastião Dos Santos, Lourenço Sbragia\",\"doi\":\"10.4293/CRSLS.2025.00024\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Congenital hyperinsulinism (CHI) is a heterogeneous genetic disease characterized by increased insulin secretion, in which dysregulation of insulin secretion by pancreatic β cells causes persistent hypoglycemia in neonates and infants. Babies diagnosed with CHI require preferentially minimal invasive surgical treatment with near-total pancreatectomy (NTP).</p><p><strong>Material and methods: </strong>CHI was treated with robotic-assisted laparoscopy (RAL).</p><p><strong>Results: </strong>The authors present an unreported case of CHI in an infant less than 10 kg, which was submitted to NTP treated by RAL. The procedure was performed with 3 arms of Da Vinci robot using adaptable size of trocars and the surgery was well succeeded.</p><p><strong>Conclusions: </strong>The RAL is a challenge in pediatric pancreatic surgery to CHI due to the size of the trocars. To our knowledge, this is the first case reported in the English literature of an infant weighing less than 10 kg having been submitted to NTP by RAL.</p>\",\"PeriodicalId\":72723,\"journal\":{\"name\":\"CRSLS : MIS case reports from SLS\",\"volume\":\"12 2\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-05-13\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12080616/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"CRSLS : MIS case reports from SLS\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4293/CRSLS.2025.00024\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/4/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"CRSLS : MIS case reports from SLS","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4293/CRSLS.2025.00024","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/4/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}
Correction of Congenital Hyperinsulinism by Robotic-Assisted Laparoscopy in an Infant.
Background: Congenital hyperinsulinism (CHI) is a heterogeneous genetic disease characterized by increased insulin secretion, in which dysregulation of insulin secretion by pancreatic β cells causes persistent hypoglycemia in neonates and infants. Babies diagnosed with CHI require preferentially minimal invasive surgical treatment with near-total pancreatectomy (NTP).
Material and methods: CHI was treated with robotic-assisted laparoscopy (RAL).
Results: The authors present an unreported case of CHI in an infant less than 10 kg, which was submitted to NTP treated by RAL. The procedure was performed with 3 arms of Da Vinci robot using adaptable size of trocars and the surgery was well succeeded.
Conclusions: The RAL is a challenge in pediatric pancreatic surgery to CHI due to the size of the trocars. To our knowledge, this is the first case reported in the English literature of an infant weighing less than 10 kg having been submitted to NTP by RAL.
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