Dong Kuiran.Hotspots and trends of domestic pediatric mini-invasive surgery[J].Journal of Clinical Pediatric Surgery,2022,21(07):601-604.[doi:10.3760/cma.j.cn101785-202204095-001]
国内小儿微创外科的热点与趋势
- Title:
- Hotspots and trends of domestic pediatric mini-invasive surgery
- 关键词:
- 最小侵入性外科手术/方法; 机器人手术; 腹腔镜检查; 伦理学; 医学
- Keywords:
- Mini-Invasive Surgical Procedures/MT; Robotic Surgical Procedures; Laparoscopy; Ethics; Medical
- 摘要:
- 我国小儿外科微创手术发展方兴未艾。机器人手术是当前一大热点，无论手术病种还是数量均大幅度增长。软内镜技术在儿童贲门失弛缓症、十二指肠隔膜闭锁等疾病中已经得到应用，在阑尾炎中也有了较为成功的尝试。而传统腹腔镜技术依然朝着病种细分和精准化两个方向不断发展。另外，微创外科的人文医学与伦理问题也被广为讨论。
- Abstract:
- Mini-invasive surgery has been gaining popularity in pediatric surgery in mainland China.And robotic surgery is currently a hot topic.Both type and number of surgical diseases are greatly expanded.Breakthroughs in flexible endoscopy have been applied for children with appendicitis, achalasia and duodenal diaphragm atresia.Traditional laparoscopy keeps evolving in the directions of disease subdivision and precision.Also humanistic medicine and ethical issues of mini-invasive surgery were discussed.
参考文献/References:
[1] 李龙, 刘雪来.小儿腔镜微创外科的发展及现状[J].中国临床医生杂志, 2021, 49(9):1009-1011.DOI:10.3969/j.issn.2095-8552.2021.09.001.Li L, Liu XL.Development and current situation of pediatric endoscopic minimally invasive surgery[J].Chinese J Clinicians, 2021, 49(9):1009-1011.DOI:10.3969/j.issn.2095-8552.2021.09.001.
[2] 黄轶晨, 谢华, 吕逸清, 等.机器人辅助腹腔镜下Lich-Greqoir手术治疗儿童原发性膀胱输尿管反流[J].临床小儿外科杂志, 2020, 19(2):150-154.DOI:10.3969/i.issn.1671-6353.2020.02.012.Huang YC, Xie H, Lyu YQ, et al.Preliminary experience of robotic assisted laparoscopic ureteral reimplantation in children with primary vesicoureteral reflux[J].J Clin Ped Sur, 2020, 19(2):150-154.DOI:10.3969/j.issn.1671-6353.2020.02.012.
[3] Xie X, Li K, Wang J, et a1.Comparison of pediatric choledochal cyst excisions with open procedures, laparoscopic procedures and robot-assisted procedures:a retrospective study[J].Surgical Endoscopy, 2020, 34(7):3223-3231.DOI:l0.1007/s00464-020-07560-1.
[4] 李帅, 汤绍涛, 曹国庆, 等.da Vinci机器人辅助胸腔镜下小儿肺叶切除术的初步经验[J].临床小儿外科杂志, 2020, 19(7):619-621, 647.DOI:10.3969/j.issn.167I-6353.2020.07.011.Li S, Tang ST, Cao GQ, et al.Preliminary Experience of thomcoscopic pulmonary lobectomy using da Vinci mbotic system in children[J].J Clin Ped Sur, 2020, 19(7):619-621, 647.DOI:10.3969/j.issn.1671-6353.2020.07.011.
[5] 张书豪, 高志刚, 钭金法, 等.机器人手术在小儿外科领域的应用现状[J].临床小儿外科杂志, 2021, 20(8):701-707.DOI:10.12260/lcxewkzz.2021.08.001.Zhang SH, Gao ZG, Tou JF, et al.Application status of robotic surgery in pediatric surgery[J].J Clin Ped Sur, 2021, 20(8):701-707.DOI:10.12260/lcxewkzz.2021.08.001.
[6] Bergholz R, Botden S, Verweij J, et al.Evaluation of a new robotic-assisted laparoscopic surgical system for procedures in small cavities[J].J Robot Surg, 2019, 14(1):191-197.DOI:10.1007/s11701-019-00961-y.
[7] 孙驰, 李索林, 刘扬, 等.经自然腔道与常规腹腔镜辅助先天性巨结肠根治术的对比研究[J].临床小儿外科杂志, 2013, 12(1):11-14.DOI:10.3969/j.issn.1671-6353.2013.01.004.Sun C, Li SL, Liu Y, et al.A clinical comparative study of natural orifice transluminal endoscopic surgery versus conventional laparoscopy for Hirschsprung’s Disease[J].J Clin Ped Sur, 2013, 12(1):11-14.DOI:10.3969/j.issn.1671-6353.2013.01.004.
[8] Liu Z, Wang Y, Fang Y.Short-term safety and efficacy of peroral endoscopic myotomy for the treatment of achalasia in children[J].J Gastroenterol, 2020, 55(2):159-168.DOI:10.1007/s00535-019-01607-4.
[9] Kong LJ, Liu D, Zhang JY, et al.Digital single-operator cholangioscope for endoscopic retrograde appendicitis therapy[J].Endoscopy, 2022, 54(4):396-400.DOI:10.1055/a-1490-0434.
[10] Sun R, Zhao N, Zhao K, etal.Comparison of efficacy and safety of laparoscopic excision and open operation in children with choledochal cysts:A systematic review and update meta-analysis[J].PLoS One, 2020, 15(9):e0239857.DOI:10.1371/journal.pone.0239857.
[11] Yang S, Yang R, Ma X, et al.Detail correction for gross classification of esophageal atresia based on 434 cases in china[J].Chin Med J (Engl), 2021, 135(4):485-487.DOI:10.1097/CM9.0000000000001673.
[12] Meinzer A, Alkatout I, Kreb TF, et al.Advances and trends in pediatric minimally invasive surgery[J].J Clin Med, 2020, 9(12):3999.DOI:10.3390/jcm9123999.
[13] Morrow T.Wilson-cook’s flourish device uses magnets to fix pediatric esophageal atresia[J].Manag Care, 2017, 26(9):32-33.
[14] Poprom N, Wilasrusmee C, Attia J, et al.Comparison of postoperative complications between open and laparoscopic appendectomy:An umbrella review of systematic reviews and meta-analyses[J].J Trauma Acute Care Surg, 2020, 89(4):813-820.DOI:10.1097/TA.0000000000002878.
相似文献/References:
[1]张书豪,高志刚,钭金法,等.机器人手术在小儿外科领域的应用现状[J].临床小儿外科杂志,2021,20(08):701.[doi:10.12260/lcxewkzz.2021.08.001]
Zhang Shuhao,Gao Zhigang,Tou Jinfa,et al.Current applications of robotic procedures in pediatric surgery[J].Journal of Clinical Pediatric Surgery,2021,20(07):701.[doi:10.12260/lcxewkzz.2021.08.001]
[2]谭征,俞建根,梁靓,等.机器人辅助胸腔镜技术治疗小儿先天性肺部疾病的单中心研究[J].临床小儿外科杂志,2021,20(08):708.[doi:10.12260/lcxewkzz.2021.08.002]
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,2021,20(07):708.[doi:10.12260/lcxewkzz.2021.08.002]
[3]赵扬,周辉霞,马立飞,等.机器人辅助腹腔镜技术应用于儿童肾上腺肿物切除术的初步经验[J].临床小儿外科杂志,2021,20(08):712.[doi:10.12260/lcxewkzz.2021.08.003]
Zhao Yang,Zhou Huixia,Ma Lifei,et al.Preliminary experience of robot-assisted laparoscopic adrenal mass resection in children[J].Journal of Clinical Pediatric Surgery,2021,20(07):712.[doi:10.12260/lcxewkzz.2021.08.003]
[4]章跃滨,陈青江,蔡多特,等.机器人手术系统辅助儿童脾切除术三例并文献复习[J].临床小儿外科杂志,2021,20(08):718.[doi:10.12260/lcxewkzz.2021.08.004]
Zhang Yuebin,Chen Qingjiang,Cai Duote,et al.Robot-assisted laparoscopic splenectomy in children: a report of 3 cases with review of the literature[J].Journal of Clinical Pediatric Surgery,2021,20(07):718.[doi:10.12260/lcxewkzz.2021.08.004]
[5]马洪,汤显能,郭跃明.机器人手术系统辅助经皮原位固定术治疗儿童股骨头骨骺滑脱的比较研究[J].临床小儿外科杂志,2021,20(08):724.[doi:10.12260/lcxewkzz.2021.08.005]
Ma Hong,Tang Xianneng,Guo Yueming.Comparative study of percutaneous in stu fixation of slipped capital femoral epiphysis assisted by surgical robotic system[J].Journal of Clinical Pediatric Surgery,2021,20(07):724.[doi:10.12260/lcxewkzz.2021.08.005]
[6]陈艳,周立军,汪亚平,等.机器人辅助腹腔镜技术治疗儿童肾上腺嗜铬细胞瘤一例并文献复习[J].临床小儿外科杂志,2021,20(08):731.[doi:10.12260/lcxewkzz.2021.08.006]
Chen Yan,Zhou Lijun,Wang Yaping,et al.Robot-assisted laparoscopic adrenalectomy for children with adrenal pheochromocytoma: one case report with a literature review[J].Journal of Clinical Pediatric Surgery,2021,20(07):731.[doi:10.12260/lcxewkzz.2021.08.006]
[7]胡家祥,聂梅兰,杨嘉飞,等.儿童上尿路结石的外科治疗进展[J].临床小儿外科杂志,2021,20(10):985.[doi:10.12260/lcxewkzz.2021.10.017]
Hu Jiaxiang,Nie Meilan,Yang Jiafei,et al.Recent advances in surgical treatment of upper urinary calculi in children[J].Journal of Clinical Pediatric Surgery,2021,20(07):985.[doi:10.12260/lcxewkzz.2021.10.017]
[8]朱炜玮,周辉霞,李品,等.机器人辅助腹腔镜Lich-Gregoir输尿管再植术与气膀胱Cohen输尿管再植术治疗原发性膀胱输尿管反流的疗效对比[J].临床小儿外科杂志,2022,21(05):437.[doi:10.3760/cma.j.cn101785-202109034-008]
Zhu Weiwei,Zhou huixia,Li Pin,et al.Comparison of clinical efficacy of robot-assisted laparoscopic Lich-Gregoir procedure and gas-bladder laparoscopic Cohen ureteral reimplantation for primary vesicoureteral reflux[J].Journal of Clinical Pediatric Surgery,2022,21(07):437.[doi:10.3760/cma.j.cn101785-202109034-008]
[9]杨平,李康明,邹兵,等.机器人辅助腹腔镜与传统腹腔镜肾盂成形术治疗小儿肾盂输尿管连接处梗阻的Meta分析[J].临床小儿外科杂志,2022,21(05):482.[doi:10.3760/cma.j.cn101785-202011015-015]
Yang Ping,Li Kangming,Zou Bing,et al.Robotic-assisted laparoscopic pyeloplasty versus laparoscopic pyeloplasty for children with ureteropelvic junction obstruction:Meta-analysis of comparative studies[J].Journal of Clinical Pediatric Surgery,2022,21(07):482.[doi:10.3760/cma.j.cn101785-202011015-015]
[10]赵红梅,张文婷,游洁玉.消化内镜在小儿普外科疾病中的应用进展[J].临床小儿外科杂志,2022,21(07):605.[doi:10.3760/cma.j.cn101785-202206027-002]
Zhao Hongmei,Zhang Wenting,You Jieyu.Application of digestive endoscopy in pediatric surgical diseases[J].Journal of Clinical Pediatric Surgery,2022,21(07):605.[doi:10.3760/cma.j.cn101785-202206027-002]
备注/Memo
收稿日期:2022-04-30。
基金项目:国家自然科学基金面上项目（82172852）；唐仲英基金会（ZSBK0070）
通讯作者:董岿然,Email:kuirand@hotmail.com