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婴儿机器人辅助腹腔镜整形 (RALP):技术修改,手术经验和结果
Pooja Prajapati1, Ankur Mandelia1, Basant Kumar1
1Department of Pediatric Surgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India.
Journal of laparoendoscopic & advanced surgical techniques. Part A
|January 23, 2026
概括
婴儿的机器人辅助腹腔镜整形 (RALP) 为盆腔尿道结阻 (PUJO) 提供了一种安全有效的解决方案. 技术改进优化了结果,使得RALP成为儿科患者的可行选择.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 最少侵入性的手术
- 机器人手术 机器人手术
背景情况:
- 婴儿的盆腔尿道结口阻塞 (PUJO) 由于其小解剖结构,会带来外科手术的挑战.
- 适应成人机器人系统用于儿科手术需要具体的技术考虑.
研究的目的:
- 介绍婴儿机器人辅助腹腔镜整形术 (RALP) 的外科经验和技术改进.
- 评估RALP在治疗儿科PUJO的安全性和有效性.
主要方法:
- 在2023年1月至2025年5月期间使用达芬奇Xi系统对接受RALP的婴儿进行回顾性审查.
- 分析操作挑战,并实施标准化策略,以改善暴露和精确的解剖.
- 通过性超声波和EC扫描对术后结果的评估.
主要成果:
- 十一名男婴接受了PUJO的单边机器人切断骨头整形手术.
- 所有手术都是用机器人完成的,没有转换;平均手术时间为168分钟.
- 90%的患者在术后表现出改善的排水,其中一个患者需要重复发热塑性.
结论:
- 机器人辅助腹腔镜整形术在PUJO的婴儿中是技术上可行的,安全和有效的.
- 量身定制的技术修改和改进对于成功的儿科RALP至关重要.
- 拉尔普提供了一种可行的最小侵入性方法来管理婴儿PUJO.
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