Expert Committee on Pediatric Endoscopy,National Health Commission,Branch of Medical Robotic Surgeon,et al.Expert Consensus on Diagnosing Biliary Atresia and Kasai Surgery Based Upon Endoscopic Technology (Edition 2025)[J].Journal of Clinical Pediatric Surgery,2025,(08):713-720.[doi:10.3760/cma.j.cn101785-202410003-003]
基于腔镜技术的胆道闭锁诊断与Kasai手术专家共识(2025年版)
- Title:
- Expert Consensus on Diagnosing Biliary Atresia and Kasai Surgery Based Upon Endoscopic Technology (Edition 2025)
- Keywords:
- Biliary Atresia; Diagnosis; Operative Laparoscopy; Robotic Surgical Procedures; Kasai Surgery; Expert Consensus
- 摘要:
- 在外科领域,科技进步推动着诊断方法和手术技术的革新,腹腔镜技术在胆道闭锁(biliary atresia,BA)诊断和治疗中发挥着日益重要的作用,而达芬奇机器人手术系统作为更具突破性的创新之一,不仅改变了手术的操作方式,也为BA的治疗开辟了新路径。目前,机器人辅助Kasai手术治疗BA已经取得不亚于腹腔镜手术的疗效。为进一步规范小儿BA腔镜技术辅助诊断治疗的选择及操作,国家卫生健康委员会小儿内镜外科专家委员会与中国医师协会手术机器人医师分会组织相关专家,就腹腔镜辅助下BA诊断、腹腔镜/机器人辅助下Kasai手术的适应证与禁忌证、手术设备与器械选择、手术方式以及手术操作关键步骤等,结合既往颁布的相关专家共识、指南、多中心临床经验以及最新文献,制定了《基于腔镜技术的胆道闭锁诊断与Kasai手术专家共识(2025年版)》,为规范、安全和有效开展腹腔镜与机器人辅助BA诊断及Kasai手术提供指导与参考。
- Abstract:
- In the clinical practices of surgery,technology continues to drive innovation in diagnostic and surgical modalities.Laparoscopic technique plays a more and more important role in the diagnosis and treatment of biliary atresia (BA).As one of the more groundbreaking innovations,da Vinci robotic surgical system not only changes the way surgery is performed,but also opens up new therapeutic options for BA.Robotic-assisted Kasai portoenterostomy,as a treatment option for BA,has achieved improved efficacy as compared to laparoscopy.To standardize the clinical practices,guarantee the quality of diagnosis and treatment,promote a healthy development of laparoscopic/robotic-assisted BA surgery,Expert Committee of Pediatric Endoscopy of National Health Commission and Medical Robotic Surgeon Branch of Chinese Medical Doctor Association have formulated the Expert Consensus.It focused upon laparoscopic-assisted BA diagnosis,indications and contraindications of laparoscopic/robotic-assisted Kasai portoenterostomy,surgical approaches and key surgical procedures.
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备注/Memo
收稿日期:2024-10-4。
基金项目:国家卫生健康委员会2014年度公益性行业科研专项项目(201402007)
通讯作者:汤绍涛,Email:tshaotao83@126.com;王斌,Email:szwb1967@126.com;李索林,Email:lisuolin@263.net