2020 年 11 月华中科技大学同济医学院附属协和医院收治了 1 例 12 岁女性咳血患儿。CT 及 MRI 均提示左下肺叶背段肺组织、左主支气管及左背段支气管内结节状肿物。纤支镜下切除主支气管内病灶活检，结果示硬化性肺泡细胞瘤。经患者及家属知情同意后，行机器人辅助左肺下叶背段解剖性切除、支气管切开瘤体切除及支气管修补术。手术顺利，术中出血约 10ml，术后恢复良好。术后 2 个月复查，无肺不张、气胸及瘤体残留。结果表明，机器人应用于小儿解剖性肺段切除术是可行的，其清晰稳定的视野、多自由度的器械、抖动过滤功能更符合人体工程学的设计，较传统胸腔镜的优势更明显。

A 12-year-old girl with hemoptysis was admitted to Union Hospital, Tongji Medical College of Huazhong University of Science and Technology in November 2020. CT and MRI showed nodular mass in the left dorsal segment parenchyma, left main bronchus and left dorsal segment bronchus. The biopsy of lesion in the principal bronchus suggested pulmonary sclerosing pneumocytoma. After informed consent, robot-assisted anatomical resection of the left dorsal segment, bronchotomy tumor resection and bronchial repair were performed. The surgery was well completed with good recovery. The intraoperative blood loss was about 10 ml. No atelectasis, pneumothorax or residual tumor were found in the follow-up 2 months after operation. The results show that robotic surgery is feasible to pediatric anatomic pulmonary segmentectomy. With clear and stable surgical field, multi degree of freedom, tremor filtering system and ergonomic design, robotic surgery system has obvious advantages over traditional thoracoscopy.

收稿日期：2021-03-09  录用日期：2021-07-19

Received Date: 2021-03-09  Accepted Date: 2021-07-19

通讯作者：汤绍涛，Email：tshaotao83@126.com 

Corresponding Author: TANG Shaotao, Email: tshaotao83@126.com 

引用格式：李帅，冯建军，雷海，等 . 儿童硬化性肺泡细胞瘤行机器人胸腔镜解剖性肺段切除术一例报道 [J]. 机器人外科学杂志（中英文），2022，3（1）：72-76. 

Citation: LI S, FENG J J, LEI H, et al. Robot-assisted thoracoscopic anatomic segmentectomy in child with pulmonary sclerosing pneumocytoma: a case report[J]. Chinese Journal of Robotic Surgery,  2022, 3(1): 72-76.

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