Anderberg M, Kockum C Clementson, Arnbjornsson E
Department of Pediatric Surgery, University Hospital, Lund, Sweden.
Eur J Pediatr Surg. 2009 Apr;19(2):110-2. doi: 10.1055/s-2008-1038500. Epub 2008 Jul 15.
The recently introduced use of robotic surgery in minimally invasive surgery procedures facilitates several steps in the operative procedure. We report the first case of a robot-assisted laparoscopic repair of a Morgagni hernia using the da Vinci Surgical System from Intuitive Surgical (Sunnyvale, CA, USA) in a 7.8 kg 18-month-old child.
Four trocars were used to gain access to the abdomen. The robot-enhanced instruments were used to close the hernia defect with interrupted, absorbable sutures, using intracorporeal knot tying.
The operation was completed laparoscopically without a patch. The total setup time for the robotic system was 35 minutes including draping. The operating time at the robotic console was 80 minutes. The child tolerated an oral intake the day after surgery and was discharged home on the third postoperative day.
Robot-assisted laparoscopic Morgagni hernia repair is feasible in small children.
最近在微创手术中引入机器人手术有助于手术过程中的几个步骤。我们报告了首例使用直观外科公司（美国加利福尼亚州桑尼维尔）的达芬奇手术系统对一名7.8千克18个月大的儿童进行机器人辅助腹腔镜修复 Morgagni 疝的病例。
使用四个套管针进入腹腔。使用机器人增强器械，通过体内打结，用间断可吸收缝线关闭疝缺损。
手术在腹腔镜下完成，未使用补片。机器人系统的总设置时间为35分钟，包括铺巾。在机器人控制台的手术时间为80分钟。患儿术后第一天即可经口进食，术后第三天出院回家。
机器人辅助腹腔镜Morgagni疝修补术在小儿中是可行的。
