机器人辅助单孔腹腔镜下小婴儿肾盂成形术一例:国内首例报道  

Robot-assisted laparoscopic single-port pyeloplasty in infant:the first case report in China

作　　者：刘一帆[1] 高贺云 张文[1] 黄光彬 余山桢 余方[2] 卢丹 宋学敏[4] 赵国艳[5] 杨琨[6] LIU Yifan;GAO Heyun;ZHANG Wen;HUANG Guangbin;YU Shanzhen;YU Fang;LU Dan;SONG Xuemin;ZHAO Guoyan;YANG Kun(Department of Pediatric Surgery,Zhongnan Hospital of Wuhan University,Wuhan 430071,China;Department of Pathology,Zhongnan Hospital of Wuhan University,Wuhan 430071,China;Department of Obstetrics and Gynecology Ultrasound Medicine,Zhongnan Hospital of Wuhan University,Wuhan 430071,China;Department of Anesthesiology,Zhongnan Hospital of Wuhan University,Wuhan 430071,China;Department of Anesthesia and Operating Room,Zhongnan Hospital of Wuhan University,Wuhan 430071,China;Department of Urology,Zhongnan Hospital of Wuhan University,Wuhan 430071,China)

机构地区：[1]武汉大学中南医院小儿外科,湖北武汉430071 [2]武汉大学中南医院病理科,湖北武汉430071 [3]武汉大学中南医院超声医学科妇产超声亚科,湖北武汉430071 [4]武汉大学中南医院麻醉科,湖北武汉430071 [5]武汉大学中南医院麻醉手术科,湖北武汉430071 [6]武汉大学中南医院泌尿外科,湖北武汉430071

出　　处：《机器人外科学杂志（中英文）》2022年第2期140-148,共9页Chinese Journal of Robotic Surgery

基　　金：湖北省卫健委青年人才项目(WJ2019Q050)。

摘　　要：本文报道2021年11月武汉大学中南医院小儿外科应用达芬奇Xi机器人手术系统治疗出生53d左肾积水并右侧睾丸鞘膜积液的小婴儿1例。手术方法采用经脐单孔入路,同时完成左肾盂成形术及右侧鞘状突高位结扎术。手术进展顺利,总手术时间148min,术中出血量约5ml,术后8h通气、32h通便、65h拔除腹膜后引流管,并于术后第6d拔除尿管,痊愈出院。In November 2021,a 53-day old infant who underwent robot-assisted laparoscopic single-port pyeloplasty for left hydronephrosis and right hydrocele in Department of Pediatric Surgery,Zhongnan Hospital of Wuhan University.The left pyeloplasty and high ligation of the right processus vaginalis were completed at the same time with the transumbilical singleport approach.The surgery was completed smoothly,with a total operation time of 148 min and blood loss of 5 ml.Postoperative exhaust time was 8 h,and time of defecation was 32 h.The retroperitoneal drainage tube was removed 65 h after surgery and the urinary catheter was removed on the 6 th day after surgery,then the infant recovered and was discharged.

关 键 词：机器人辅助单孔腹腔镜手术 小婴儿 肾盂成形术 肾盂输尿管连接部梗阻 

分 类 号：R692.2[医药卫生—泌尿科学]