Xuan Xiaoxiao,Zhang Shuhao,Cai Duote,et al.Efficacy evaluation of robot-assisted laparoscopic excision of solid pancreastic pseudopapilloma in children[J].Journal of Clinical Pediatric Surgery,,():1072-1076.[doi:10.3760/cma.j.cn101785-202310010-013]
Efficacy evaluation of robot-assisted laparoscopic excision of solid pancreastic pseudopapilloma in children
- Keywords:
- Robotic Surgery; Laparoscopy; Pancreatic Tumor; Surgical Procedures; Operative; Child
- Abstract:
- Objective To evaluate the application of robot-assisted laparoscopy for solid pancreastic pseudopapilloma (SPP) in children. Methods From April 2020 to July 2023,retrospective analysis was conducted for the relevant clinical data of 5 SPP children.Lesion sites,imaging examinations,periostoperative laboratory tests,operative duration,intraoperative volume of blood loss,drainage tubing time,perioperative complications,length of hospitalization and postoperative pathological examinations were recorded. Results There were 1 boy and 4 girls,ranging in age from 6 years 9 months to 14 years 9 months,with a median age of 10 years 11 months.Weight 21.5-45.0 kg, median weight 29.1 kg.Preoperative imaging examinations of ultrasonography,enhanced computed tomography (CT) and magnetic resonance imaging (MRI) hinted at SPP.Robot-assisted laparoscopic resection was performed with a median operative duration of 103(95-180) min.There was no conversion into open surgery.One child of intraoperative pancreatic duct rupture was repaired.SPP was confirmed by postoperative pathological examination.The median postoperative hospitalization stay was 14(7-20) day.Preoperative leucocyte count was 7.600(7.300,10.000)×109/L,high-sensitivity C-reactive protein (Hs-CRP) 0.200(0.200,0.460)mg/L,alanine aminotransferase (ALT) 11.000(9.000,17.000) U/L,aspartate aminotransferase (AST) 24.000(21.000,35.000) U/L,amylase 67.700(62.900,107.10) U/L,lipase 23.500(21.200,53.700) U/L; Postoperative leucocyte count was 5.190(5.070,5.590)×109/L,Hs-CRP 7.520(1.080,7.800)mg/L,ALT 17.000(15.00,34.000) U/L,AST 35.000 (28.000,42.000) U/L,amylase 95.700(73.000104.400) U/L,lipase 62.300 (58.900,64.000) U/L.The comparison of leucocyte count,Hs-CRP,ALT,AST,amylase and lipase before and after surgery showed p-values greater than 0.05.There were no statistically significant differences.All of them were discharged smoothly.During a follow-up period of 2 to 36 month,there was no onset of pancreatitis,pancreatic leakage,pancreatic duct stenosis or recurrence. Conclusions For SPP children,robot-assisted laparoscopy is both safe,mini-invasive and feasible with distinct anatomy,precise handling and quick postoperative recovery.
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Memo
收稿日期:2023-10-9。
基金项目:浙江省自然科学基金(LY20H030007)
通讯作者:陈青江,Email:chenqj0157@zju.edu.cn