关键词: Biliary reconstruction Case report Choledochal cyst Roux-en-Y hepaticojejunostomy Single-port robotic system

来  源:   DOI:10.1016/j.ijscr.2024.110037   PDF(Pubmed)

Abstract:
BACKGROUND: Total cyst excision and Roux-en-Y hepaticojejunostomy is the standard procedure for treating congenital choledochal cysts, which requires high surgical skills. Our aim is to introduce the experience with the SHURUI single-port robotic system in pediatric surgery.
METHODS: In this study, we present a case demonstrating the application of the SHURUI single-port robotic system in performing choledochal cyst excision and Roux-en-Y hepaticojejunostomy in a pediatric patients. Roux-en-Y anastomosis was constructed extracorporeally, then choledochal cyst excision and hepaticojejunostomy was performed intracorporally using the SHURUI Surgical System. Surgical complications and the wound outcomes were assessed. The total duration of the operation was 292 min, comprising an extracorporeal time of 45 min, docking time of 19 min, and intracorporal time of 183 min. The estimated blood loss was minimal at only 2 mL. The patient was discharged 6 days post-operation, and exhibited satisfactory recovery at the one-month follow-up.
CONCLUSIONS: This case represents an initial experience with the SHURUI Surgical System in managing a pediatric choledochal cyst. The results indicate that the system is feasible and safe for this procedure, and may have some advantages over laparoscopic and open approaches.
CONCLUSIONS: The SHURUI Surgical System is both feasible and safe in pediatric surgery, and it may offer certain advantages over laparoscopic and open approaches.
摘要:
背景:全囊肿切除和Roux-en-Y肝空肠吻合术是治疗先天性胆总管囊肿的标准方法,这需要很高的手术技巧。我们的目的是介绍SHURUI单端口机器人系统在儿科手术中的经验。
方法:在本研究中,我们提供了一个案例,展示了SHURUI单端口机器人系统在小儿患者中进行胆总管囊肿切除术和Roux-en-Y肝空肠吻合术中的应用。Roux-en-Y吻合术是在体外构建的,然后使用SHURUI外科系统进行胆总管囊肿切除和肝空肠吻合术。评估手术并发症和伤口结局。手术的总持续时间为292分钟,包括45分钟的体外时间,对接时间19分钟,体内时间为183分钟。估计的失血量在仅2mL时最小。患者术后6天出院,在一个月的随访中表现出令人满意的恢复。
结论:该病例代表了SHURUI外科治疗小儿胆总管囊肿的初步经验。结果表明,该系统是可行和安全的。与腹腔镜和开放方法相比,可能有一些优势。
结论:舒瑞手术系统在儿科手术中既可行又安全,与腹腔镜和开放方法相比,它可能具有某些优势。
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