机器人辅助腹腔镜下儿童肾母细胞瘤肾切除术
Robot-Assisted Laparoscopic Nephrectomy for Wilms' Tumour in Children.
作者信息
He Min, Liu Shuangai, Ma Xiaohui, Cai Jiabin, Wu Xuan, Mao Junqin, Li Linjie, Zhang Lifeng, Ying Meidan, He Ziqi, Tao Ting, Wang Jinhu, Yan Xiang
机构信息
Department of Surgical Oncology, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, China.
Pediatric Cancer Research Center, National Clinical Research Center for Child Health, Hangzhou, China.
出版信息
Int J Med Robot. 2025 Aug;21(4):e70088. doi: 10.1002/rcs.70088.
BACKGROUND
The purpose of this study was to share our experiences with robot-assisted laparoscopic nephrectomy (RALN) for WT in children and to discuss the technical points and indications.
METHODS
Patients with WT undergoing RALN between May 2020 and December 2022 were retrospectively analysed. Patient demographics, operative details, postoperative outcomes and follow-up were recorded.
RESULTS
A total of 10 patients with WT who underwent RALN were enrolled in this study. The tumour diameter at operation was 70.2 ± 26.1 mm. The median tumour-abdominal volume ratio (TAVR) was 6.8% (range, 1.9%-14.8%). RALN was successfully performed in all the 10 patients without conversion, tumour rupture or operative complications. No local recurrence or death occurred during the follow-up period.
CONCLUSION
RALN for the treatment of WT in children appears to be safe and feasible in selected patients. Robotic surgery offers an effective alternative to laparoscopic surgery, appropriately expanding indications when performed by experienced surgeons.
背景
本研究的目的是分享我们在儿童肾母细胞瘤（WT）机器人辅助腹腔镜肾切除术（RALN）方面的经验，并讨论技术要点和适应证。
方法
回顾性分析2020年5月至2022年12月期间接受RALN治疗的WT患者。记录患者的人口统计学资料、手术细节、术后结果及随访情况。
结果
本研究共纳入10例接受RALN治疗的WT患者。手术时肿瘤直径为70.2±26.1mm。肿瘤与腹腔体积比（TAVR）中位数为6.8%（范围1.9%-14.8%）。10例患者均成功实施RALN，无中转、肿瘤破裂或手术并发症发生。随访期间无局部复发或死亡病例。
结论
对于部分儿童WT患者，RALN治疗似乎是安全可行的。机器人手术为腹腔镜手术提供了一种有效的替代方法，由经验丰富的外科医生实施时可适当扩大适应证。
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