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机器人保脾胰体尾切除术治疗儿童胰岛素瘤的初步经验。

First experience of robotic spleen-preserving distal pancreatectomy in a child with insulinoma.

机构信息

Department of Surgical Oncology (HBP), Chinese PLA General Hospital, Beijing, 100853, China.

Department of Pediatric Surgery, Chinese PLA General Hospital, Beijing, 100853, China.

出版信息

World J Surg Oncol. 2017 Nov 9;15(1):199. doi: 10.1186/s12957-017-1265-6.

DOI:10.1186/s12957-017-1265-6
PMID:29121944
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5680789/
Abstract

BACKGROUND

An insulinoma is a functional neuroendocrine pancreatic tumor, and surgical resection is indicated. Robot-assisted laparoscopic surgeries have been shown to be generally safe and feasible for treatment of pediatric cases of urologic and digestive disease.

CASE PRESENTATION

In July 2016, a 9-year-old girl (24 kg, 120 cm) was admitted with a pancreatic tail insulinoma and underwent robot-assisted spleen-preserving laparoscopic distal pancreatectomy. The total procedure time was 155 min, and the blood loss was about 10 ml. The patient recovered without complications.

CONCLUSIONS

This case supports that robot-assisted spleen-preserving laparoscopic distal pancreatectomy may be safe and feasible in pediatric insulinoma patients.

摘要

背景

胰岛素瘤是一种功能性神经内分泌胰腺肿瘤,手术切除是其适应证。机器人辅助腹腔镜手术已被证明对小儿泌尿科和消化科疾病的治疗是安全可行的。

病例介绍

2016 年 7 月,一名 9 岁女孩(24kg,120cm)因胰尾胰岛素瘤入院,接受机器人辅助保脾腹腔镜胰体尾切除术。总手术时间为 155 分钟,出血量约 10ml。患者恢复顺利,无并发症。

结论

该病例支持机器人辅助保脾腹腔镜胰体尾切除术在小儿胰岛素瘤患者中是安全可行的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8972/5680789/7f17f6cf002d/12957_2017_1265_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8972/5680789/917b4fb51b70/12957_2017_1265_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8972/5680789/4393ed2ab02f/12957_2017_1265_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8972/5680789/553cb84126eb/12957_2017_1265_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8972/5680789/7f17f6cf002d/12957_2017_1265_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8972/5680789/917b4fb51b70/12957_2017_1265_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8972/5680789/4393ed2ab02f/12957_2017_1265_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8972/5680789/553cb84126eb/12957_2017_1265_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8972/5680789/7f17f6cf002d/12957_2017_1265_Fig4_HTML.jpg

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Road accident due to a pancreatic insulinoma: a case report.胰腺胰岛素瘤导致的道路交通事故:一例报告。
Medicine (Baltimore). 2015 Mar;94(12):e537. doi: 10.1097/MD.0000000000000537.
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机器人辅助腹腔镜和胸腔镜手术:186例小儿外科手术的前瞻性系列研究
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