Li Shuai,Tang Shaotao,Cao Guoqing,et al.Preliminary experience of thoracoscopic pulmonary lobectomy using da Vinci robotic-system in children[J].Journal of Clinical Pediatric Surgery,,19():619-621,647.[doi:10.3969/j.issn.1671-6353.2020.07.011]
Preliminary experience of thoracoscopic pulmonary lobectomy using da Vinci robotic-system in children
- Keywords:
- Pneumonectomy; Robotics; Thoracoscopy; Child
- CLC:
- R616;R729
- Abstract:
- Objective To summarize the preliminary experience of using da Vinci robotic-assisted thoracoscopic pulmonary lobectomy in children using da Vinci system.Methods From 2018 to 2019,clinical data were retrospectively reviewed for 2 children undergoing robotic-assisted thoracoscopic pulmonary lobectomy.The operative age was 4 and 10 years and the body weight 17 and 30 kg respectively.And the pathologic diagnosis was intralobar pulmonary sequestration and congenital pulmonary airway malformation respectively.Results Both cases underwent robotic-assisted thoracoscopic pulmonary lobectomy successfully.The robotic docking time was 30 and 15 min,the console operating time 120 and 90 min and the volume of intraoperative blood loss 20 and 50 ml respectively.The drainage tube was removed at Day 5 post-operation and discharge occurred at Day 7 post-operation.No instance of pneumothorax,hemothorax,bronchopleural fistula or atelectasis occurred during a follow-up period of 12 and 8 month.Conclusion Robotic-assisted thoracoscopic pulmonary lobectomy is both safe and feasible in children with a body weight of over 15 kg.And 3-D visualization,articulating robotic instruments and tremor filtration facilitate the dissections of pulmonary vein,artery and bronchus.However,retraction of lung without tactile feedback may cause more blood loss.
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Memo
收稿日期:2019-12-14。
通讯作者:汤绍涛,Email:tshaotao83@126.com