传统腹腔镜器械并不能完全灵活地完成外科医生所需要的手术动作，且操作精度和维度有限，在此背景下，达芬奇机器人手术系统应运而生。达芬奇手术机器人于2001 年首次应用于小儿外科，其后快速发展并广泛用于小儿普外科、泌尿外科及胸心外科，其中肾盂成形术、胃底折叠术及肺叶切除术为应用最广泛的术式，但国内相关手术起步较晚，本文拟从机器人在儿童消化道畸形疾病中的应用做一概述，包括食管闭锁、胃食管反流性疾病、胆道畸形和肛肠畸形，并系统性回顾机器人手术在此领域中国外和国内的发展现状。

Due to limited accuracy and dimension, surgical actionscould not be performed flexibly withtraditional laparoscopic instruments. Therefore, the Da Vinci surgical system came into being, and it was first used in pediatric surgery in 2001. In pediatrics, robot-assisted surgery has been rapidly developed and widely used in general surgery, urological and thoracic surgery, of which robot-assistedpyeloplasty, fundoplication and lobectomy are most widely used for now. However, it develops relatively slowly in China. The application and development of da Vinci surgical system in children with gastrointestinal

malformations, including esophageal atresia, gastroesophageal reflux disease, biliary tract malformation and anorectal malformation were reviewed in this paper, and the current status of robotic surgery in pediatric in China and abroadwere also systematically review.

收稿日期：2020-11-18 录用日期：2021-02-23

Received Date: 2020-11-18 Accepted Date: 2021-02-23

基金项目：卫计委公益性行业科研专项基金（201402007）

Foundation Item: Special Funds for Public Welfare Research of the National Health and Family Planning Commission of China(201402007)

通讯作者：汤绍涛，Email：Tshaotao83@126.com

Corresponding Author: Tang Shaotao, Email: Tshaotao83@126.com

引用格式：汤绍涛，张茜，曹国庆，等. 机器人辅助手术在儿童消化道畸形治疗中的应用现状[J]. 机器人外科学杂志（中英文），2023，4（2）：105-112.

Citation: TANG S T, ZHANG X, CAO G Q, et al. Application of Da Vinci surgical system in digestive tract malformation in children[J]. Chinese Journal of Robotic Surgery, 2023, 4(2): 105-112.

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