Lan Menglong,Zeng Jixiao,Xu Xiaogang,et al.Emergency treatment of complex pancreatoduodenal injuries grade Ⅴ with robot-assisted complete laparoscopic pancreatojejunostomy in a child:the first case report[J].Journal of Clinical Pediatric Surgery,,():73-78.[doi:10.3760/cma.j.cn101785-202407026-013]
Emergency treatment of complex pancreatoduodenal injuries grade Ⅴ with robot-assisted complete laparoscopic pancreatojejunostomy in a child:the first case report
- Keywords:
- Laparoscope; Pancreaticojejunostomy; Surgical Procedures; Operative; Child; Robotic Surgical Procedures
- Abstract:
- Objective To summarize the first case of surgical experience of emergency treatment of complex pancreatoduodenal injuries with robot-assisted complete laparoscopic pancreatojejunostomy in a child with pancreaticoduodenal injuries. Methods A retrospective analysis was conducted for the diagnosis and treatment of an 8-year-old boy with pancreaticoduodenal injuries grade Ⅴ undergoing robot-assisted surgery in June 2024.This report summarized Trocar layout,operative essentials,perioperative management and treatment outcomes. Results He was admitted because of abdominal pain and vomiting for 29 h after abdomen injury of a bicycle handlebar.Preoperative imaging examination revealed pancreatic head rupture and duodenal perforation.Robot-assisted complete laparoscopic duodenal repair and pancreaticojejunostomy were performed.Da Vinci robotic surgical system was utilized with a 4-arm method and 1 auxiliary hole.Operative duration was 11 h and intraoperative volume of blood loss 50 mL.And 1 U of red blood cell suspension was transfused during operation.After operation,acid suppression,hemostasis,somatostatin and intravenous nutrition were offered.There were no serious postoperative complications such as hemorrhage,pancreatic fistula,biliary fistula or intestinal fistula.Discharge occurred at Day 14 post-operation. Conclusions Emergency robot-assisted laparoscopic duodenal repair pancreatojejunostomy is both safe and effective for children with combined pancreaticoduodenal injuries,with rapid postoperative recovery and short hospitalization stay.
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Memo
收稿日期:2024-7-12。
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(202201010612、2023A03J0865);广州地区临床特色技术项目(2023C-TS48);卫生健康技术重点推广项目(XM202403895)
通讯作者:曾纪晓,Email:zengjixiao@163.com