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新生儿患先天性食管闭锁 医生操纵机器人完成手术

2020-06-17 中国新闻网 中国新闻网

程程(化名)是一名先天性食管闭锁患儿,在他出生第16天的时候,武汉协和医院医生通过操纵达芬奇机器人,为他实施高难度的胸腔镜食道闭锁手术。10日,院方为即将出院的他举办一场特殊的满月仪式,祝愿他健康长大

程程(化名)是一名先天性食管闭锁患儿,在他出生第16天的时候,武汉协和医院医生通过操纵达芬奇机器人,为他实施高难度的胸腔镜食道闭锁手术。10日,院方为即将出院的他举办一场特殊的满月仪式,祝愿他健康长大。

医生为程程检查 刘坤维 摄

医生为程程检查 刘坤维 摄

程程出生于今年5月4日。“出生后,我们尝试给他喂母乳,但是他吃了就吐。”程程父亲刘先生介绍,孩子不仅一吃就吐、口吐泡泡,还伴有呼吸稍促及呛咳。家人将他送往当地医院,因一直无法查明病因,后转入武汉协和医院。

武汉协和医院小儿外科主任汤绍涛发现,程程的口腔和鼻腔均不能插入胃管,通过临床判断和造影检查,定性为食道闭锁I型。

据介绍,食管闭锁是新生儿严重的消化道畸形疾病,分为5型,III型最多见为85%~90%,I型少见为5%~7%。食管闭锁的治疗牵涉到术前评估、麻醉、手术、重症监护、围手术期管理、营养等多个学科领域,因此其治疗成功率被学界认为是小儿外科综合实力体现。

该院小儿外科团队迅速组织会诊,并确定手术方案:达芬奇机器人探查+食道重建术。汤绍涛表示,达芬奇机器人是目前最先进的微创手术平台,3D视野显示解剖结构更加清晰,7个维度活动的机械臂和滤过防抖动功能使得术中解剖和吻合操作更精准流畅,可以减少组织损伤和手术并发症。

院方为程程举办满月仪式 刘坤维 摄

院方为程程举办满月仪式 刘坤维 摄

但是对于出生只有16天、体重6斤2两的程程来说,要在他巴掌大的胸部打小洞,通过达芬奇机器人进行微创,麻醉、手术难度大。5月20日下午,救治团队反复讨论,综合200余例小儿机器人手术经验,创新手术方法,成功为程程施行先天性食管闭锁手术。术中解剖结构清晰,食管吻合精准严密。

术后,程程恢复良好,将于近日出院。(完)

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    2020-06-19 xue8602
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    2020-06-19 huirong
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    2020-06-19 zhouqu_8
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