Tan Zheng,Yu Jiangeng,Liang Liang,et al.Robot-assisted thoracoscopy in the treatment of congenital pulmonary diseases in children[J].Journal of Clinical Pediatric Surgery,,20():708-711.[doi:10.12260/lcxewkzz.2021.08.002]
Robot-assisted thoracoscopy in the treatment of congenital pulmonary diseases in children
- Keywords:
- Robotic Surgical Procedures; Pneumonectomy; Thoracoscopy; Child
- CLC:
- R563;R726.1
- Abstract:
- Objective To explore the safety, efficacy and advantages of da Vinci Xi robot-assisted thoracoscopy for children with congenital pulmonary diseases. Methods From May 2020 to March 2021, 85 children with clinically suspected congenital lung disease were operated with da Vinci Xi robot-assisted thoracoscopy. There were 54 boys and 31 girls with an average monthly age of (17.56±7.35)(6.5-130). There were 1 observation port (8 mm), 2 handling ports (8 mm) and 1 accessory incision (5 mm). Ribs were not stretched. The perioperative patient data were collected. Results All 85 operations were successful, including anatomical lobectomy, segmentectomy, pericardial resection, cyst dissection and extralobar isolated pneumonectomy. Only 1 case was converted into thoracotomy. No perioperative complications or death occurred. The average duration of chest irrigation was(1.38±0.87)(0-5) days, the average operative duration(74.76±30.21)(42-270) min, the average intraoperative volume of blood loss(4.05±2.21)(1-30) ml and the average total hospitalization expense(70 426.65±6 086.78)(61 897-95 033) yuan. No blood transfusion was offered during perioperative period. Conclusion Robot-assisted thoracoscopic lobectomy is both safe and effective with more realistic vision, more flexible and stable handling and a wider surgical indication. It is an important option for a new generation of mini-invasive thoracic surgery.
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Memo
收稿日期:2021-03-28。
基金项目:国家重点研发计划（编号：2018YFC1002700）
通讯作者:谭征,Email:tanzheng@zju.edu.cn