目的 探索运用达芬奇手术机器人辅助系统治疗小儿胰腺肿瘤的近期疗效和手术经验。方法 2013—2016年我们通过达芬奇手术机器人辅助系统实施小儿胰腺肿瘤切除术4例。4例患儿年龄分别为10岁、10岁、11岁和9岁。肿瘤部位:3例为胰腺头部,1例为胰腺中段。4例均通过da Vinic机器人手术系统完整切除肿瘤,术中及术后病理检查结果均为胰腺实性假乳头状瘤。结果 4例手术时间分别为180 min、127 min、110 min和135 min。术中出血分别为47 mL、50 mL、40 mL和45 mL。肿瘤大小分别为25 mm、50 mm、55 mm和25 mm,术后住院时间分别为20 d、10 d、22 d和12 d。均治愈,随访时间分别为8个月、9个月、6个月和12个月,无一例术中、术后并发症,无复发病例。结论 达芬奇手术机器人辅助系统用于小儿胰腺肿瘤切除术具有切口小,创伤小,手术时间短,可减轻术后疼痛,降低伤口感染发生率,缩短住院时间等优势。
Objective To summarize the recent experiences of da Vinci robotic surgical system in the treatment of pediatric pancreatic tumors. Methods From 2013 to 2016,4 cases of pediatric pancreatic tumor resection was performed by a da Vinci robotic surgery system.The ages were 10,10,11 and 9 years respectively.Among 3 cases involving head of pancreas,the procedures included middle pancreas(n=1)and complete removal of tumor(n=3). Results The operative duration was 180,127,110 and 135 min respectively.Intraoperative bleeding was 47,50,40 and 45 ml.Tumor size was 25,50,55 and 25mm and postoperative hospitalization time at 20,10,22 and 12 days respectively.During a follow-up period of 8,9,6 and 12 months,there was no peri-operative complications. Conclusion The da Vinci robotic surgery system offers the advantages of small incision and minimal trauma for pediatric pancreatic tumors.
