近年来，随着微创理念的加深和技术的不断进步，越来越多的医生应用胸腔镜手术进行食管气管瘘 修补和食管吻合术。华中科技大学同济医学院附属协和医院小儿外科于 2020 年 8 月应用 Da Vinci Si 机器人手术系 统完成了中国首例Ⅲ型食管闭锁手术，本研究对手术要点及疗效进行报道。

Team of Department of Pediatric Surgery, Union Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology successfully performed the first case of robotic thoracoscopic surgery on type Ⅲ esophageal atresia in August 2020, the key procedures and postoperative effect were reported as follows.

收稿日期：2021-03-15  录用日期：2021-06-16

Received Date: 2021-03-15  Accepted Date: 2021-06-16 

通讯作者：汤绍涛，Email：tshaotao83@126.com 

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

引用格式：汪瑛，汤绍涛，曹国庆，等 . 机器人辅助胸腔镜治疗Ⅲ型食管闭锁一例：国内首例报道 [J]. 机器人外科学杂志（中英文）， 2022，3（5）：423-427.

Citation: WANG Y, TANG S T, CAO G Q, et al. Robot-assisted thoracoscopic surgery on type Ⅲ esophageal atresia: the first case report in China[J]. Chinese Journal of Robotic Surgery, 2022, 3 (5): 423-427.

[1] Roberts K, Karpelowsky J, Fitzgerald D A, et al. Outcomes of oesophageal atresia and tracheo-oesophageal fistula repair[J]. J Paediatr Child Health, 2016, 52(7): 694-698.

[2] Ballouhey Q, Villemagne T, Cros J, et al. Assessment of paediatric thoracic robotic surgery[J]. Interact Cardiovasc Thorac Surg, 2015, 20(3): 300-303.

[3] Wei S, Saran N, Emil S, et al. Musculoskeletal deformities following neonatal thoracotomy: long-term follow-up of an esophageal atresia cohort[J]. J Pediatr Surg, 2017, 52(12): 1898-1903. [4] Bastard F, Bonnard A, Rousseau V, et al. Thoracic skeletal anomalies following surgical treatment of esophageal atresia. Lessons from a national cohort[J]. J Pediatr Surg, 2018, 53(4): 605-609.

[5] Okuyama H, Koga H, Ishimaru T, et al. Current practice and outcomes of thoracoscopic esophageal atresia and tracheoesophageal fistula repair: a multi-institutional analysis in Japan[J]. J Laparoendosc Adv Surg Tech A, 2015, 25(5): 441-444.

[6] Klein M D, Langenburg S E, Kabeer M, et al. Pediatric robotic surgery: lessons from a clinical experience[J]. J Laparoendosc Adv Surg Tech A, 2007, 17(2): 265-271.

[7] Meehan J J. Robotic surgery in small children: is there room for this? [J]. J Laparoendosc Adv Surg Tech A, 2009, 19(5): 707-712.

[8] 张茜 , 曹国庆 , 汤绍涛 , 等 . da Vinic 机器人腹腔镜 治疗小儿先天性胆总管囊肿 [J]. 临床小儿外科杂 志 , 2016, 15(02): 137-139. 

[9] 王勇 , 汤绍涛 . 达芬奇手术机器人辅助胸腔镜手 术治疗小儿纵膈肿瘤 1 例 [J]. 临床小儿外科杂志 , 2017, 16(5): 518-20.

[10] Pierre A F, Thomas B, Aurelien B, et al. The potential and the limitations of esophageal robotic surgery in children[J]. Eur J Pediatr Surg, 2020. DOI: 10.1055/ s-0040-1721770.

[11] Ure B. Esophageal atresia, Europe, and the future: BAPS Journal of Pediatric Surgery Lecture[J]. J Pediatr Surg, 2019, 54(2): 217-222. 

[12] Cundy T P, Shetty K, Clark J, et al. The first decade of robotic surgery in children[J]. J Pediatr Surg, 2013, 48(4): 858-865.