da Vinic机器人腹腔镜治疗小儿先天性胆总管囊肿

目的总结da Vinci机器人腹腔镜治疗小儿先天性胆总管囊肿的近期疗效和经验。方法 2015—2016年我们实施3例da Vinci机器人腹腔镜先天性胆总管囊肿根治术。患儿年龄分别为8个月、8岁和4岁。3例均为Ⅰa型囊肿,其中1例为巨大囊肿。3例均实施机器人囊肿完整切除+肝总管空肠.Roux-en-Y吻合术,于腹腔外完成Roux空肠端侧吻合。结果机器人操作时间分别为304min、226 min和245 min。术后开始进食时间为3 d、3 d和4 d。术后住院时间分别为7 d、9 d和10 d。随访时间分别为10个月、8个月和3个月,无术中、术后并发症。结论 da Vinci机器人治疗Ⅰa型先天性胆总管囊肿是安全、可行的。三维显像系统和灵活的机器手更加有利于囊肿切除和胆肠重建。

da Vinci Robotic System for choledochal cysts in children

Objetive To evaluate the early outcomes and present our experience of using da Vinci robot assistance to treat choledochal cysts.Methods From 2015 to 2016,3 children diagnosed with congenital cho-ledochal cyst and treated with da Vinci robotic system were retrospectively reviewed.The Roux loop was fash-ioned extracorporeally.The age was 8 months,8 years and 4 years,respectively.All 3 had type 1c cysts,and 1 was very large.Results All 3 cases were treated successfully by robotic resection of the cyst and hepaticojeju-nostomy.The robotic console operating time was 304 minutes,226 minutes and 245 minutes,respectively.Feed-ing was established by 3 days,3days and 4 days,and patients were discharged after 7 days,9days and 10 days, respectively,with no intraoperative and postoperative complications during follow-up. Conclusions The tech-nique is safe and effective in children with type 1a cysts.The three -dimensional visualization and wristed in-strumentation greatly aids in the dissection of the cyst and in the biliary reconstruction.