目的：探讨机器人辅助保留十二指肠胰头切除术治疗婴儿局灶型先天性高胰岛血症（CHI）的安全性和可行性。 方法：广州医科大学附属妇女儿童医疗中心肝胆外科于 2024 年 1 月—2024 年 3 月收治 2 例胰头局灶型 CHI 患儿， 行机器人辅助保留十二指肠胰头切除术 + 胰体空肠 Roux-en-Y 吻合术，收集并分析患儿的临床资料。结果：2 例患 儿均成功完成机器人辅助手术，手术时间分别为405 min和350 min，术中出血量分别为3 mL和5 mL，术后恢复顺利， 无胰瘘或胆瘘。患儿在正常奶量的情况下血糖维持在正常范围。结论：机器人手术系统具有较好的清晰度和操作 灵活性，初步应用于局灶型 CHI 婴儿保留十二指肠胰头切除术是安全、可行的。

Objective: To investigate the safety and feasibility of robot-assisted duodenum-preserving pancreatic head resection for the treatment of focal congenital hyperinsulinism (CHI) in infants. Methods: 2 infants with focal CHI on the pancreatic head in the Department of Hepatobiliary Surgery of the Women’s and Children’s Medical Center Affiliated to Guangzhou Medical University from January 2024 to March 2024 were selected. Robot-assisted duodenum-preserving pancreatic head resection with pancreatico-jejunal Roux-en-Y anastomosis was performed, and the clinical data were collected and analyzed. Results: Robot-assisted surgery was successfully completed in the two infants, with an operative time of 405 min and 350 min, intraoperative bleeding of 3 mL and 5 mL, and smooth postoperative recovery without pancreatic fistula or biliary fistula. The infants’ blood glucose was maintained in the normal range under normal milk intake. Conclusion: There is good clarity and operational flexibility with the robotic surgical system, and it is safe and feasible to apply it initially for duodenum-preserving pancreatic head resection in infants with focal CHI.

基金项目：广东省自然科学基金项目（2024A1515013217） 

Foundation Item: Natural Science Foundation of Guangdong Province(2024A1515013217) 

通讯作者：温哲，Email：wenzhe2005@163.com 

Corresponding Author: WEN Zhe, Email: wenzhe2005@163.com 

引用格式：梁奇峰，温哲，白晓玲，等 . 机器人辅助保留十二指肠胰头切除术治疗婴儿高胰岛素血症的病例探讨（附手术视频）[J]. 机器人外科学杂志（中英文），2025，6（1）：90-94，100. 

Citation: LIANG Q F, WEN Z, BAI X L, et al. Exploration of robot-assisted duodenum-preserving pancreatic head resection for  the treatment of hyperinsulinism in infants (with surgical video) [J]. Chinese Journal of Robotic Surgery, 2025, 6(1): 90-94, 100.

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