The robot "Leonardo da Vinci" went to surgery to correct two deformities of an 8-year-old baby at a time

Jimu news reporter Liu Xun

Correspondent Gao Chenchen

The 8-year-old boy fell and found hydronephrosis on the examination, and when he checked before the operation, he found that he had a heart attack. Traditionally, two surgeries are performed, which are traumatic and slow to recover. Experts at Wuhan Children's Hospital used da Vinci robots to cure two deformities in one operation, which is the first case in China. On 27 October, the boy recovered and was discharged from the hospital.

The child stumbled

Two malformations were accidentally detected

8-year-old Chenchen (pseudonym) lives in Xinyang City, Henan Province, and has a lively and active personality. A month ago, he accidentally fell while playing with his classmates, and when he was doing a double kidney color overtime in the hospital, he accidentally found that there was severe hydrops in his right kidney. Parents are very surprised, usually Tatsumi can eat and sleep, there are no obvious symptoms. In order to be safe, Chenchen was transferred to Wuhan Children's Hospital and was admitted to the Department of Urology to prepare for surgical treatment.

Li Shuang, director of urology at the hospital, told parents that because the kidney is a "labor model", some children have symptoms of hydronephrosis that are not obvious. Some children have only said a few times that their stomach hurts and are easy to ignore. She reminded parents that children with symptoms such as waist and abdomen pain, hematuria, fever and other symptoms should seek medical treatment with a urological surgeon in time.

During the preoperative examination, the doctor unexpectedly found that Chenchen's heart function was not good, and further examination found that the child even suffered from heart disease - patent ductus arteriosus. In general, after the baby is born, the catheter that descends the aorta to the pulmonary artery should be closed before the age of 1 year. However, some children have not closed, causing blood from the aorta to "leak" to the pulmonary arteries. Mild can affect the constitution, and heavy can cause heart failure. Because the "opening" is small and very hidden, the symptoms are not obvious at present. But if you continue to procrastinate, your child's heart will be "overwhelmed" and will go to exhaustion.

Leonardo da Vinci came to help

One surgery solves the problem

According to medical principles, treatment should give priority to vital organs. According to the traditional treatment method, Chenchen should be corrected for cardiac malformations first, first improve the heart function, wait for the child to recover for a period of time, and then undergo hydronephrosis surgery.

In order to make the child less guilty and recover quickly, wuhan children's hospital urology, cardiothoracic surgery, anesthesiology and other multidisciplinary experts after consultation, put forward a better solution - ask the hospital's da Vinci robot to help, do an operation, and correct two deformities at the same time.

On October 15, after complete preoperative preparations, Tatsumi was pushed into the operating room. After successful anesthesia, the first director of cardiothoracic surgery, Pi Ming'an, punched three small holes in the chest, and under the high-definition naked-eye "3D" field of view, the robot's flexible probe can be rotated 540 degrees, coagulating blood while operating, and accurately ligation of the ductus arteriosus. The operation was successfully completed and Tatsuna's heart function was improved.

Next, Li Shuang, director of urology, came on. Through da Vinci's robot exploration, she found that the child's right side of the hydronephrosis had reached 5 centimeters in diameter at its widest diameter, and the kidney parenchyma had become thinner. During the operation, the expert first isolated the dilated renal pelvis, found the renal pelvis connection, found that there was a narrow distortion here, and then cut off the obstructed renal pelvis ureteral connection, cut off the dilated renal pelvis, and then connected the renal pelvis and the ureter, and the operation was successfully completed. The entire surgical procedure lasted only 4 hours, and Chenchen had very little bleeding and did not require blood transfusions.

First anniversary of launch

347 patients benefited from "Da Vinci"

"One did not expect that the child actually had two serious diseases that we did not know, and at that time I was very worried, and I was very worried that the child would suffer a major crime." After the operation, Chenchen's father sighed, "The second did not expect that one operation could solve two big problems, and the child recovered so quickly." Many thanks to the expert team at Children's Hospital! ”

Pi Ming'an, director of the Department of Cardiothoracic Surgery of Wuhan Children's Hospital, introduced that in children, two specialties of surgery were performed at the same time with da Vinci surgery, which is the first time in China. A surgery has many benefits for the child, only one anesthesia is used, the operation has a small impact on the child, the trauma is small, the child recovers quickly, and the burden on the parents is reduced. On the one hand, this is due to the advancement of hospital concepts and the cooperation of various specialties, on the other hand, the da Vinci robot, the right-hand man, has made the past idea a reality. Da Vinci robot has obvious advantages in fine dissection and protective separation, and has a flexible mechanical arm with 540-degree rotation, precise operation, small probability of postoperative complications of children, and fast recovery of the body, creating more possibilities for minimally invasive surgical operations.

Duan Xufei, vice president of Wuhan Children's Hospital, introduced that on October 23, 2020, Wuhan Children's Hospital officially launched the first da Vinci robot surgery, opening a new era of pediatric surgery in central China. As of October 27 this year, the hospital has completed 347 da Vinci robotic surgeries, covering neonatal surgery, general surgery, cardiothoracic surgery, urology and gynecology, covering all the pediatric specialties that Da Vinci can currently do.

Experts also remind parents that the Da Vinci robot is not suitable for all children and all surgeries, only suitable for surgery with high complexity and a certain difficulty coefficient, and experts will formulate the optimal surgical plan according to the specific characteristics of the child.

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