Minimally Invasive Surgery Center, Division of General Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
World J Surg Oncol. 2010 Oct 12;8:87. doi: 10.1186/1477-7819-8-87.
For Choledochal cyst type I, complete excision of cyst with Roux-en-Y hepaticojejunostomy anastomosis is the treatment of choice. It has been performed laparoscopically with the advancement of laparoscopic skill. Recently, a telemanipulative robotic surgical system was introduced, providing laparoscopic instruments with wrist-arm technology and 3-dimensional visualization of the operative field. We present a case of robot-assisted total excision of a choledochal cyst type I and biliary reconstruction in a 14-year-old girl. No intraoperative complications or technical problems were encountered. An intraabdominal collection occurred and was successfully treated with continuous percutaneous drainage. At one-year follow-up, she is doing well without evidence of recurrent cholangitis.
对于胆管囊状扩张Ⅰ型，完整切除囊肿并进行 Roux-en-Y 肝肠吻合术是首选治疗方法。随着腹腔镜技术的进步，这种手术现在可以在腹腔镜下进行。最近，一种远程操控机器人手术系统问世，为腹腔镜器械提供了腕臂技术和手术视野的三维可视化。我们报告了一例 14 岁女孩应用机器人辅助行胆管囊状扩张Ⅰ型全切除和胆肠重建的病例。手术过程中未出现并发症或技术问题。术后发生腹腔内积液，经持续经皮引流成功治疗。随访 1 年，患者无复发性胆管炎证据，恢复良好。
