2022 年 8 月郑州大学人民医院小儿外科收治 1 例出生 23 d 的先天性胆总管囊肿并梗阻性黄疸患儿。 本团队应用第四代达芬奇机器人手术系统对患儿行胆总管囊肿切除 + 肝总管空肠 Roux-en-Y 吻合术。手术当日患儿 25 d。手术过程顺利，总手术时间 280 min，机器人操作时间 180 min，术中出血量 5 ml，术后 12 h 通气、20 h 通便， 术后第 5 d 拔除腹腔肝下引流管并于术后第 7 d 痊愈出院。结果表明，机器人辅助腹腔镜下新生儿先天性胆总管囊肿手术是可行的，其清晰的 3D 术野、可转腕的手术器械、抖动滤除系统更有利于在狭小体腔内进行精细手术的操作。

In August 2022, a 23-day-old newborn with congenital choledochal cyst and obstructive jaundice was admitted to the Department of Pediatric Surgery, the People’s Hospital of Zhengzhou University. Choledochal cyst resection and Roux-en-Y hepaticojejunostomy were performed on the female newborn with the Da Vinci Xi robotic surgical system. The newborn was 25- day-old on the day of surgery. The surgery went smoothly with a total operative time of 280 min and robotic operative time of 180 min. The amount of intraoperative blood loss was 5 ml. The exhaust time was 12 h after surgery and the time of first defecation was 20 h after surgery, and the drainage tube was removed on the 5th day after surgery. The patient recovered well and was discharged on the 7th day after surgery. The results showed that it is feasible to treat congenital choledochal cyst in newborn with robotic surgical system. With clear 3D vision of surgical field, flexible instruments and shaking filtering system, robotic surgical system is more beneficial to the fine operation in narrow body cavity.

收稿日期：2022-12-13  录用日期：2023-02-18 

Received Date: 2022-12-13  Accepted Date: 2023-02-18 

通讯作者：王晓晖，Email：7655100@qq.com 

Corresponding Author: WANG Xiaohui, Email: 7655100@qq.com 

引用格式：王霖，王晓晖，张书峰，等 . 机器人辅助腹腔镜下新生儿先天性胆总管囊肿手术：国内首例报道（附视频）[J]. 机器人 外科学杂志（中英文），2024，5（1）：85-90. 

Citation: WANG L, WANG X H, ZHANG S F, et al. Robot-assisted laparoscopic surgery for congenital choledochal cyst in newborn: the first case report in China (with video) [J]. Chinese Journal of Robotic Surgery, 2024, 5(1): 85-90.

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