海南省妇女儿童医学中心于 2023 年 2 月收治 1 例动脉导管未闭患儿。本中心应用达芬奇机器人手术 Xi 系统完成动脉导管未闭结扎术，这是海南省首例机器人辅助动脉导管未闭结扎术，也是海南省首例机器人辅助先 天性心脏病手术。机器人手术系统对接时间 10 min，手术操作时间 45 min，出血量 1 ml，手术过程顺利，未见术后并发症发生。

In February 2023, a child diagnosed with patent ductus arteriosus was admitted to Hainan Women and Children’s Medical Center. The patent ductus arteriosus ligation was completed using the Da Vinci Xi robotic surgical system, which was the first robot-assisted congenital heart surgery in Hainan province. The docking time of the robotic surgical system was 10 min, the operative time was 45 min, the blood loss was 1 ml. The operation was successful and no postoperative complications were observed.

收稿日期：2023-05-15  录用日期：2023-06-23 

Received Date: 2023-05-15  Accepted Date: 2023-06-23 

基金项目：海南省临床医学中心建设项目（QWYH202175）；海南省科技专项（ZDYF2022SHFZ121） 

Foundation Item: Construction Project of Clinical Medical Center of Hainan Province (QWYH202175); Science and Technology Special Fund of Hainan Province (ZDYF2022SHFZ121) 

通讯作者：陈仁伟，Email：chenrenwei@sina.com 

Corresponding Author: CHEN Renwei, Email: chenrenwei@sina.com 

引用格式：苏云天，艾力夏提·阿里甫，王海凡，等 . 达芬奇机器人辅助动脉导管未闭结扎术：海南省首例报道（附视频）[J]. 机 器人外科学杂志（中英文），2024，5（2）：249-253. 

Citation: SU Y T, AILIXIATI A, WANG H F, et al. Da Vinci robot-assisted patent ductus arteriosus ligation: the first case report in Hainan Province (with video)[J]. Chinese Journal of Robotic Surgery, 2024, 5(2): 249-253.

[1] 应力阳 , 刘喜旺 , 谭征 , 等 . 达芬奇机器人手术在 儿童动脉导管未闭中的应用研究 [J]. 临床小儿外科 杂志 , 2021, 20(12): 1179-1182. 

[2] Forsey J T, Elmasry O A, Martin R P. Patent arterial duct[J]. Orphanet J Rare Dis, 2009. DOI: 10.1186/ 1750-1172-4-17. 

[3] Park J, Yoon S J, Han J, et al. Patent ductus arteriosus treatment trends and associated morbidities in neonates[J]. Sci Rep, 2021, 11(1): 10689. 

[4] Hundscheid T, Onland W, Kooi EMW, et al. Expectant management or early ibuprofen for patent ductus arteriosus[J]. N Engl J Med, 2023, 388(11): 980-990. 

[5] Jain A, Shah P S. Diagnosis, evaluation, and management of patent ductus arteriosus in preterm neonates[J]. JAMA Pediatr, 2015, 169(9): 863-872. 

[6] Sullivan I D. Patent arterial duct: when should it be closed?[J]. Arch Dis Child, 1998 , 78(3): 285-287. 

[7] Laborde F, Noirhomme P, Karam J, et al. A new video-assisted thoracoscopic surgical technique for interruption of patient ductus arteriosus in infants and children[J]. J Thorac Cardiovasc Surg, 1993, 105(2): 278-280. 

[8] Subramaniam R. Current use of and indications for robot-assisted surgery in paediatric urology[J]. Eur Urol Focus, 2018, 4(5): 662-664. 

[9] ZHANG M X, CHI S Q, CAO G Q, et al. Comparison of efficacy and safety of robotic surgery and laparoscopic surgery for choledochal cyst in children: a systematic review and proportional meta-analysis[J]. Surg Endosc, 2023, 37(1): 31-47. 

[10] De Benedictis A, Trezza A, Carai A, et al. Robotassisted procedures in pediatric neurosurgery[J]. Neurosurg Focus, 2017, 42(5): E7. 

[11] Fuchs M E, DaJusta D G. Robotics in pediatric urology[J]. Int Braz J Urol, 2020, 46(3): 322-327. 

[12] Lombardo A M, Gundeti M S. Review of robot-assisted laparoscopic surgery in management of infant congenital urology: advances and limitations in utilization and learning[J]. Int J Urol, 2023, 30(3): 250-257. 

[13] HUANG J, HUANG Z, MEI H, et al. Cost-effectiveness analysis of robot-assisted laparoscopic surgery for complex pediatric surgical conditions[J]. Surg Endosc, 2023, 37(11): 8404-8420. 

[14] Satyanarayan A, Peters C A. Advances in robotic surgery for pediatric ureteropelvic junction obstruction and vesicoureteral reflux: history, present, and future[J]. World J Urol, 2020, 38(8): 1821-1826. 

[15] LI C, GAO Y, ZHOU P, et al. Comparison of the robotic bilateral axillo-breast approach and conventional open thyroidectomy in pediatric patients: a retrospective cohort study[J]. Thyroid, 2022, 32(10): 1211-1219. 

[16] RONG L, LI Y, TANG J, et al. Robotic-assisted choledochal cyst excision with Roux - e n -Y hepaticojejunostomy in children: does age matter?[J]. Surg Endosc, 2023, 37(1): 274-281. 

[17] Anand S, Adgudwar S, Jadhav B R, et al. An audit of robot-assisted minimally invasive surgeries in children: early experience from a Tertiary Care Center in India[J]. J Laparoendosc Adv Surg Tech A, 2021, 31(11): 1337- 1340. 

[18] 陈天 , 陈诚豪 , 曾骐 . 达芬奇机器人手术系统在 儿童胸外科的应用 [J]. 中华小儿外科杂志 , 2022, 43(1): 83-87. 

[19] Le Bret E, Papadatos S, Folliguet T, et al. Interruption of patent ductus arteriosus in children: robotically assisted versus videothoracoscopic surgery[J]. J Thorac Cardiovasc Surg, 2002, 123(5): 973-976. 

[20] 谭征 , 俞建根 , 梁靓 , 等 . 达芬奇机器人辅助腔镜 技术在小儿胸科手术中的应用 [J]. 中华小儿外科杂 志 , 2022, 43(3): 206-209.