Department of Digestive Surgery, Graduate School of Medicine, Kagoshima University, Kagoshima, Japan.
Asian J Endosc Surg. 2024 Oct;17(4):e13385. doi: 10.1111/ases.13385.
Robot-assisted surgery for congenital biliary dilatation has been evolving primarily with the da Vinci® Surgical System. The hinotori™ Surgical Robot System, developed in Japan, received approval for gastroenterological surgery in 2022. We present the inaugural case of congenital biliary dilatation surgery utilizing the hinotori™ system. A 57-year-old woman was referred to our institution for evaluation and treatment of common bile duct dilatation classified under Todani Type Ia congenital biliary dilatation. Robotic resection of the extrahepatic bile duct and hepaticojejunostomy with Roux-en-Y were performed. The operation lasted 292 min with minimal blood loss (10 mL). The patient had an uneventful postoperative course and was discharged 10 days after surgery. Robotic surgery using the hinotori™ system for congenital biliary dilatation can be safely performed.
机器人辅助手术治疗先天性胆管扩张症主要采用达芬奇®手术系统。日本开发的 hinotori™手术机器人系统于 2022 年获得胃肠手术批准。我们首次报告了使用 hinotori™系统治疗先天性胆管扩张症的病例。一位 57 岁女性因胆总管扩张就诊，经诊断为 Todani Ⅰa 型先天性胆管扩张症。行机器人辅助肝外胆管切除术和 Roux-en-Y 胆肠吻合术。手术持续 292 分钟，出血量少（10 毫升）。患者术后恢复顺利，术后 10 天出院。使用 hinotori™系统进行机器人手术治疗先天性胆管扩张症是安全可行的。
