摘要
达芬奇机器人手术系统相较传统腹腔镜技术,在软件、硬件方面均上了一个新的台阶,其在成人中的应用不仅限于胃肠外科、泌尿外科、妇科等腹腔镜技术开展良好的传统学科,也在心胸外科、口腔外科中显示出巨大的潜在优势。随着机器人手术器械的设计更加贴合儿童患者,其在小儿外科复杂性疾病治疗中的优势逐渐突显,尤其是在小儿泌尿外科,机器人技术已经在肾盂成形术、输尿管再植术等复杂疾病中得到广泛应用。但是,机器人手术在小儿普外科并没有达到其在泌尿外科的应用规模,尤其是儿童肝胆胰外科领域,这与肝胆胰的复杂解剖分离及消化道重建(特别是胰肠吻合、胆肠吻合的复杂性)有一定的关系。本文系统总结达芬奇机器人在小儿肝胆胰外科领域的应用现状并予展望。
As compared with traditional laparoscopic techniques,both software and hardware of da Vinci robot have upgraded constantly.Its widespread applications in adults are not only limited to gastrointestinal surgery,urology and gynecology,but also shows great promises in cardiothoracic and oral surgery.With the improved suitability of surgical instruments for children,it offers great advantages in the treatment of complex pediatric diseases.Especially in pediatric urology,robotics has been widely applied for pyeloplasty and ureteral replantation.However,robotic application in pediatric general surgery has failed to match the popularity of urology and hepatobiliary pancreatic surgery.The latter is closely correlated with complex anatomy and reconstruction of digestive tracts,such as pancreaticoenterostomy and bilioenterostomy.This review summarized current applications and future prospects of da Vinci robot in pediatric hepatobiliary pancreatic surgery.
作者
胡迪
张书豪
蔡多特
章跃滨
陈青江
高志刚
Hu Di;Zhang Shuhao;Cai Duote;Zhang Yuebin;Chen Qingjiang;Gao Zhigang(Department of General Surgery,Affiliated Children's Hospital,Zhejiang University School of Medicine,National Clinical Research Center for Children's Health,Hangzhou 310000,China)
出处
《临床小儿外科杂志》
CAS
CSCD
2023年第1期1-6,共6页
Journal of Clinical Pediatric Surgery
基金
浙江省“领雁”研发攻关计划项目(2023C3029)
浙江省腹腔脏器微创诊治临床医学研究(01492-02)
浙江省医药卫生科技计划项目(2017KY441)
浙江省卫生健康科技计划(2022RC201)
关键词
机器人手术
肝胆病
胰腺
外科手术
儿童
Robotic Surgical Procedures
Liver System Diseases
Pancreas
Surgical Procedures,Operative
Child
