目的：分析总结第四代达芬奇机器人辅助单孔腹腔镜手术（R-LESS）治疗儿童先天性胆总管囊肿的疗效和经验。方法： 回顾性分析 2020 年 5 月—2023 年 5月武汉大学中南医院小儿外科收治的 3 例行机器人辅助单孔腹腔镜下胆总管囊肿根治术的 患儿临床资料。所有患儿均为女性；年龄分别为 31 d、50 d 和 4 岁。Todani 分型：1 例为 Ia 型囊肿，2 例为 IVa 型囊肿。3 例 患儿先在腹腔镜模式下探查、定位空肠并拖出体外，再行空肠 - 空肠端侧吻合，然后在机器人辅助单孔腹腔镜下行胆囊切除 + 胆总管囊肿切除 + 肝总管空肠端侧吻合。结果：3 例手术均顺利完成，无中转开腹。平均手术时间 252 min，术中出血量 5~15 mL。术后第 3 d 患儿开始进食，术后平均住院时间为 7 d。随访时间为 6~18 个月，平均 12.7 个月，无胆瘘、胰瘘、吻 合口狭窄等并发症发生。结论：第四代达芬奇机器人辅助单孔腹腔镜手术治疗儿童先天性胆总管囊肿是安全、有效的，且切 口隐匿、美观。

Objective: To analyze and summarize the effect and experience of Da Vinci Xi robot-assisted laparoscopic singlesite surgery (R-LESS) for treating congenital choledochal cyst in children. Methods: Clinical data of 3 children who underwent R-LESS for choledochal cyst in the Department of Pediatric Surgery of Zhongnan Hospital of Wuhan University from May 2020 to May 2023 were retrospectively analyzed. All children were female, aged 31 days, 50 days, and 4 years, respectively. There were onecase of Todani type Ia cyst and 2 cases of type IVa cyst. In the 3 cases, the jejunum was first explored, localized and dragged out in vitro under laparoscopic mode, then jejunum-jejunum end-side anastomosis was performed, followed by robotassisted single-site laparoscopic cholecystectomy + choledochal cyst excision + hepatic duct-jejunum end-side anastomosis. Results: All the 3 case of surgeries went smoothly without conversion to laparotomy. The average operative time was 252 min and intraoperative bleeding was 5~15 mL. The children started to eat on the 3rd day after surgery, and the average postoperative hospitalization was 7 d. The follow-up period ranged from 6 to 18 months, with a mean length of 12.7 months, and there were no complications such as biliary fistula, pancreatic fistula, or anastomotic stenosis occurred. Conclusion: For the treatment of congenital choledochal cysts in children, R-LESS is both safe and feasible, and the incision could be hidden and aesthetically pleasing.

基金项目：儿童单孔机器人技术应用研究项目（YYXKNLJS2024020） 

Foundation Item: Research Project on Application of Single-port Robot Technology for Children(YYXKNLJS2024020) 

引用格式：杜国伟，高贺云，胡涛，等 . 机器人辅助单孔腹腔镜手术治疗儿童先天性胆总管囊肿（附手术视频）[J]. 机器人外科学杂志（中英文）， 2025，6（3）：379-382. 

Citation: DU G W, GAO H Y, HU T, et al. Robot-assisted laparoscopic single-site surgery for congenital choledochal cysts in children (with  surgical video) [J]. Chinese Journal of Robotic Surgery, 2025, 6(3): 379-382. 

通讯作者（Corresponding Author）：张文（ZHANG Wen），Email：wzhang115@163.com

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