全球首例机器人辅助保留幽门的胰十二指肠切除术治疗儿童壶腹部横纹肌肉瘤(附视频)  

Robot-assisted pylorus-preserving pancreaticoduodenec-tomy for rhabdomyosarcoma in hepatopancreatic ampulla of a child:the first case report(with video)

作　　者：曾纪晓 徐晓钢 刘斐 兰梦龙 陶波圆 梁子建 王欣星 ZENG Jixiao;XU Xiaogang;LIU Fei;LAN Menglong;TAO Boyuan;LIANG Zijian;WANG Xinxing(Department of Gastrointestinal Surgery,National Children’s Medical Center for South Central Region of China/Guangzhou Women and Children Medical Center,Guangzhou 510623,China)

机构地区：[1]国家儿童区域医疗中心(中南)·广州市妇女儿童医疗中心胃肠外科,广东广州510623

出　　处：《机器人外科学杂志（中英文）》2023年第6期606-611,共6页Chinese Journal of Robotic Surgery

基　　金：国家自然科学基金(82170528);广东省自然科学基金(2022A1515012254);广州市科技计划市校(院)联合资助项目(202201020612);广州地区临床特色技术项目(2023C-TS48)。

摘　　要：2023年4月6日于广州市妇女儿童医疗中心胃肠外科完成全球首例达芬奇机器人辅助保留幽门的胰十二指肠切除术治疗儿童壶腹部恶性肿瘤,术后无胰漏、胆漏等并发症,术后2周CA19-9由术前9487.52 U/ml降至正常,病理结果证实为葡萄状胚胎性横纹肌肉瘤,无淋巴结转移。目前患儿已完成第一阶段的化疗,恢复良好。On April 6,2023,the first case of robot-assisted pyloric-preserving pancreaticoduodenectomy was completed in a three-year-old boy with rhabdomyosarcoma in duodenal ampulla by pediatric surgeons in Guangzhou Women and Children’s Medical Center independently.There were no postoperative complications such as pancreatic leakage,biliary leakage or other complications.After 2 weeks,the serum level of CA19-9 decreased from 9487.52 U/ml to normal.The postoperative pathology findings confirmed grape-like embryonal rhabdomyosarcoma without lymph node metastasis.The first phase of postoperative chemotherapy has been completed for now and the patient is recovering well.

关 键 词：机器人辅助手术 保留幽门的胰十二指肠切除术 横纹肌肉瘤 肝胰壶腹 

分 类 号：R656[医药卫生—外科学] R726.1[医药卫生—临床医学]