摘要
目的 总结机器人辅助小儿纵隔肿瘤切除术的经验。方法 2020年12月~2023年12月机器人辅助纵隔肿瘤切除术病人99例,分析病人肿瘤类型、大小、切口选择、手术时间、术中出血量、术后并发症及随访情况等。结果 手术均顺利完成,无围术期死亡,中转开胸3例。手术时间(86.5±21.7)分钟,术中出血量(8.5±1.6) ml,术后住院时间(7.4±3.2)天。术后有4例乳糜胸,3例Horner综合征,1例支气管损伤。随访1年,1例低分化神经母细胞瘤复发,6个月后二次手术,其余患儿均恢复良好,无死亡病例。结论 机器人辅助小儿纵隔肿瘤切除手术安全可行,术前应做好手术预案,需要中转时应及时果断。
Objective To analyze the curative effects of Da Vinci robot-assisted thoracoscopic surgery for 99 cases with mediastinal tumor in children and summarize the experience.Methods The clinical date of 99 cases of robot-assisted mediastinal mass in Wuhan Children's Hospital from December 2020 to December 2023 were retrospectively analyzed.Tumor type,size,incision selection,operation time,intraoperative blood loss,postoperative complications and follow-up were summarized and analyzed.Results All the operations were successfully completed without perioperative death and 3 cases were converted to thoracotomy.The duration was(86.5±21.7)min,the intraoperative blood loss was(8.5±1.6)ml,and the postoperative hospital stay was(7.4±3.2)d.The postoperative complications included chylothorax(n=4),Horner's syndrome(n=3),and 1 case of tracheal injury.During the follow-up of 1 year,1 case of poorly differentiated neuroblastoma recurred and underwent second operation 6 months later.The other children recovered well without death.Conclusion Da Vinci robot-assisted mediastinal tumor resection surgery in children is safe and feasible.Preoperative surgical plans should be fully prepared,and the conversion to thoracotomy should be timely and decisive.
作者
陈义初
魏磊
汪力
皮名安
龚立
CHEN Yichu;WEI Lei;WANG Li;PI Ming'an;Gongli(Department of Cardio-Thoracic Surgery,Wuhan Children's Hospital,Tongji Medical College,Huazhong University of Science&Technology,Wuhan 430016,China)
出处
《临床外科杂志》
2025年第11期1155-1158,共4页
Journal of Clinical Surgery
基金
湖北省卫生健康委科研项目(WJ2021M020)
武汉市卫生健康委重点项目(WX20A06)。
关键词
小儿纵隔肿瘤
机器人
胸腔镜
微创手术
mediastinal tumors in children
robots
thoracoscopy
minimally invasive surgery
