Xu Xiaogang,Zeng Jixiao,Luo Yuanyuan,et al.Robotic hepatectomy in a 14-month-old child of hepatoblastoma without the first hepatic portal control:a first case report in the world[J].Journal of Clinical Pediatric Surgery,,22():1114-1118.[doi:10.3760/cma.j.cn101785-202307016-004]
Robotic hepatectomy in a 14-month-old child of hepatoblastoma without the first hepatic portal control:a first case report in the world
- Abstract:
- Objective To summarize the surgical experiences of the first-ever global case of robotic hepatectomy (RH) in a child with hepatoblastoma (HB) without the first hepatic portal control.Methods A 14-month-old HB boy reviewed retrospectively.Located in right hepatic lobe S5/S6,tumor had a dimension of 9.0×6.9×6 cm.RH was performed with Da Vinci system.Trocar positioning,operative skills and perioperative managements of pediatric robotic hepatectomy were recorded.Results Without the first hepatic control (Pringle),hepatic vessels were ligated by an ultrasonic knife with a Hemo-lock.Tumors (S5,S6,partial S7 & gallbladder) were completely removed with four robotic arms and one auxiliary hole.Operative duration was 120 min and volume of blood loss 50 ml.There were no such postoperative complications as bile leakage,hemorrhage or infection.Postoperative pathology hinted at HB.Discharge index was attained at Day 7 post-RH.C5V chemotherapeutic regimen (cisplatin + 5-fluorouracil + vincristine) was offered at Day 14.AFP was 36.88,8.90 and 6.61 ng/ml at Month 1,Day 53 and Month 3 post-RH.No new lesions were detected by ultrasonography.Conclusions RH is both safe and feasible for infantile HB without the first hepatic control (Pringle).Currently there are few related reports of RH in children.It is imperative to continue expanding cases and accumulating experiences.
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Memo
收稿日期:2023-7-8。
基金项目:国家自然科学基金(82170528);广东省自然科学基金(2022A1515012254);广州市科技计划市校(院)联合资助项目(202201020612);广州地区临床特色技术项目(2023C—TS48);广州市卫生健康科技项目(20231A011040)
通讯作者:曾纪晓,Email:zengjixiao@163.com