Zhan Jianghua,Zhao Yilin,Sun Rongjuan.Advances and future trends in minimally invasive surgery for pediatric hepatobiliary pancreatic and splenic diseases[J].Journal of Clinical Pediatric Surgery,2025,(11):1001-1005.[doi:10.3760/cma.j.cn101785-202509025-001]
儿童肝胆胰脾外科微创手术主要进展与未来趋势
- Title:
- Advances and future trends in minimally invasive surgery for pediatric hepatobiliary pancreatic and splenic diseases
- Keywords:
- Hepatectomy; Splenectomy; Pancreatic Diseases; Child; Precision Minimally Invasive; Robotic Surgery
- 摘要:
- 微创手术因其创伤小、恢复快、瘢痕美观等优势,已在成人外科领域取得显著成就。小儿独特的解剖特点(如腹腔空间有限、血管神经纤细)使其不能被简单视为"缩小版的成人",这也为小儿微创手术的开展带来了挑战。近年来随着设备的革新和技术的进步,微创手术在小儿外科的应用范围不断拓展,尤其在肝胆、脾脏及胰腺等腹部器官疾病的诊疗中展现出重要价值。本文旨在讨论微创手术在小儿肝胆、脾脏及胰腺疾病治疗中的应用现状及未来发展趋势,并深入分析精准微创理念对小儿外科发展的推动作用。需要强调的是,"微创"并非终极目标,以患儿为中心,根据具体病情审慎选择个体化治疗方案,实现患儿健康获益的最大化才是最终目的。
- Abstract:
- Minimally invasive surgery (MIS) has achieved remarkable success in adult surgical practice due to its advantages of reduced trauma,faster recovery,and improved cosmetic outcomes.However,the unique anatomical characteristics of children,such as limited abdominal space and delicate vasculature and nerves,mean that pediatric patients cannot simply be regarded as "miniature adults," posing specific challenges to pediatric MIS.In recent years,with continuous advancements in surgical instruments and technologies,the application of MIS in pediatric surgery has expanded substantially,demonstrating significant value particularly in the management of hepatobiliary,pancreatic,and splenic diseases.This article reviews the current applications and future trends of MIS in pediatric hepatic,biliary,splenic,and pancreatic surgery,and further analyzes how the concept of precision minimally invasive surgery is driving the development of pediatric surgical care.It is important to emphasize that "minimally invasive" is not the ultimate goal; rather,the central aim is to maximize clinical benefit by adopting a patient-centered,individualized approach tailored to each child’s condition.
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备注/Memo
收稿日期:2025-9-11。
基金项目:天津市应用基础研究项目(22JCZDJC00290);天津市医学重点学科建设资助(TJYXZDXK—3—016B)
通讯作者:詹江华,Email:zhanjianghuatj@163.com