机器人辅助腹腔镜肾部分切除术治疗儿童肾癌一例报道

Robot-assisted laparoscopic partial nephrectomy for renal cell carcinoma in children:a case report

目的:介绍1例机器人辅助下保留肾单位的肾部分切除术治疗儿童肾癌的手术体验和治疗效果。方法:回顾性分析达芬奇机器人辅助下手术治疗儿童肾癌患者的病例资料,采用保留肾单位的肾部分切除术,在手术体验、手术效果等方面与传统腹腔镜手术对比,了解机器人辅助下手术的优缺点。结果:手术获得成功,未中转开放。手术总时长176min,其中机器人装机时间约25min,术后随访3个月、6个月,肾功能均无异常。结论:达芬奇机器人手术系统在狭窄的空间内具有强大的操作自由度和操作精度,机器人辅助下手术治疗儿童肾癌安全、有效,操作便捷,是儿童微创外科的新方向。

Objective:To report a case of robot-assisted laparoscopic partial nephrectomy for renal cell carcinomain in children.Methods:Clinical data of the child under Da Vinci robot-assisted laparoscopic partial nephrectomy for renal cell carcinoma was retrospectively analyzed.Surgical experience and surgical results were compared with the traditional laparoscopic surgery,and the advantages and disadvantages of robot-assisted surgery were analyzed.Results:The surgery was successfully completed without conversion to open surgery.The total operative time was 176 min,with the installation time of about 25 min.No abnormalities on renal function were found after 3 and 6 months of follow-up.Conclusion:With high degree of freedom and precision in narrow space,robotic surgical system is safe,effective and easy to perform partial nephrectomy for renal cell carcinoma in children,which could be the new development direction of minimally invasive surgery in children.