Gao Yue,Tan Zheng,Yu Jiangen,et al.Clinical analysis of da Vinci robotic surgical system repair of paraesophageal hiatus hernia in children[J].Journal of Clinical Pediatric Surgery,,22():666-670.[doi:10.3760/cma.j.cn101785-202106074-012]
Clinical analysis of da Vinci robotic surgical system repair of paraesophageal hiatus hernia in children
- Keywords:
- Robotic Surgical Procedures; Hernia; Hiatal; Surgical Procedures; Operative; Child
- Abstract:
- Objective To explore the efficacy and safety of da Vinci robotic surgical system (DVSS) for paraesophageal hiatus hernia in children.Methods From June 2020 to December 2020, 5 children of paraesophageal hiatus hernia was definitely diagnosed by upper gastrointestinal contrast radiography.They underwent DVSS.There were 3 boys and 2 girls with a mean age of (15.4±9.6) (5-28) months.Clinical types were Ⅰ (n=1), Ⅲ (n=3) and Ⅳ (n=1).Results Mean operative duration of Nissen fundoplication was 132(105-165) min, mean volume of intraoperative blood loss 2.2 ml, mean postoperative length of stay 7.4 days and mean postoperative feeding time (2-3) days.There was no conversion into open surg?ry.Re-examination of gastrointestinal contrast radiography at Month 1 post-discharge revealed no recurrence.Vomiting symptoms significantly relieved and weight gain was significant during a follow-up period of (3-6) months.Conclusion DVSS is both feasible and safe for repairing paraesophageal hiatus hernia in children.With obvious advantages of meticluous anatomy and precise suturing, it provides a new option.
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Memo
收稿日期:2021-06-30。
基金项目:2017年浙江省医药卫生科技计划项目（2017KY435）
通讯作者:谭征,Email:tanzheng@zju.edu.cn