2023 年 4 月 6 日于广州市妇女儿童医疗中心胃肠外科完成全球首例达芬奇机器人辅助保留幽门的胰 十二指肠切除术治疗儿童壶腹部恶性肿瘤，术后无胰漏、胆漏等并发症，术后 2 周 CA19-9 由术前 9487.52 U/ml 降 至正常，病理结果证实为葡萄状胚胎性横纹肌肉瘤，无淋巴结转移。目前患儿已完成第一阶段的化疗，恢复良好。

On April 6, 2023, the first case of robot-assisted pyloric-preserving pancreaticoduodenectomy was completed in a three-year-old boy with rhabdomyosarcoma in duodenal ampulla by pediatric surgeons in Guangzhou Women and Children’s Medical Center independently. There were no postoperative complications such as pancreatic leakage, biliary leakage or other complications. After 2 weeks, the serum level of CA19-9 decreased from 9487.52 U/ml to normal. The postoperative pathology findings confirmed grape-like embryonal rhabdomyosarcoma without lymph node metastasis. The first phase of postoperative chemotherapy has been completed for now and the patient is recovering well.

收稿日期：2023-05-10  录用日期：2023-07-15 

Received Date: 2023-05-10  Accepted Date: 2023-07-15 

基金项目：国家自然科学基金（82170528）；广东省自然科学基金（2022A1515012254）；广州市科技计划市校（院）联合资 助项目（202201020612）；广州地区临床特色技术项目（2023C-TS48） 

Foundation Item: National Natural Science Foundation of China (82170528); Natural Science Foundation of Guangdong Province(2022A1515012254); Municipality and University(Institute) Joint Funding Project of Guangzhou Science and Technology Plan (202201020612); Guangzhou Clinical Characteristic Technology Project(2023C-TS48) 

通讯作者：曾纪晓，Email：zengjixiao@163.com 

Corresponding Author: ZENG Jixiao, Email: zengjixiao@163.com 

引用格式：曾纪晓，徐晓钢，刘斐，等 . 全球首例机器人辅助保留幽门的胰十二指肠切除术治疗儿童壶腹部横纹肌肉瘤（附视频）[J]. 机器人外科学杂志（中英文），2023，4（6）：606-611. 

Citation: ZENG J X, XU X G, LIU F, et al. Robot-assisted pylorus-preserving pancreaticoduodenectomy for rhabdomyosarcoma in hepatopancreatic ampulla of a child: the first case report (with video) [J]. Chinese Journal of Robotic Surgery, 2023, 4(6): 606-611.

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