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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="research-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care</journal-id><journal-title-group><journal-title xml:lang="en">Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care</journal-title><trans-title-group xml:lang="ru"><trans-title>Российский вестник детской хирургии, анестезиологии и реаниматологии</trans-title></trans-title-group></journal-title-group><issn publication-format="print">2219-4061</issn><issn publication-format="electronic">2587-6554</issn><publisher><publisher-name xml:lang="en">Eco-Vector</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">1772</article-id><article-id pub-id-type="doi">10.17816/psaic1772</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>Case reports</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>Клинические случаи</subject></subj-group><subj-group subj-group-type="article-type"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Robot-assisted distal pancreatectomy with spleen preservation in the treatment of a child with a solid pseudopapillary tumor</article-title><trans-title-group xml:lang="ru"><trans-title>Робот-ассистированная дистальная панкреатэктомия с сохранением селезенки при лечении ребенка с солидной псевдопапиллярной опухолью</trans-title></trans-title-group><trans-title-group xml:lang="zh"><trans-title>机器人辅助并保留脾脏的胰腺远端切除术治疗小儿实性假乳头状瘤</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2313-897X</contrib-id><contrib-id contrib-id-type="spin">3682-0832</contrib-id><name-alternatives><name xml:lang="en"><surname>Kozlov</surname><given-names>Yury A.</given-names></name><name xml:lang="ru"><surname>Козлов</surname><given-names>Юрий Андреевич</given-names></name><name xml:lang="zh"><surname>Kozlov</surname><given-names>Yury A.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Corresponding Member of the Russian Academy of Sciences, MD, Dr. Sci. (Medicine), Professor</p></bio><bio xml:lang="ru"><p>чл.-корр. РАН, д-р мед. наук, профессор</p></bio><bio xml:lang="zh"><p>Corresponding Member of the Russian Academy of Sciences, MD, Dr. Sci. (Medicine), Professor</p></bio><email>yuriherz@hotmail.com</email><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff2"/><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7042-6646</contrib-id><name-alternatives><name xml:lang="en"><surname>Poloyan</surname><given-names>Simon S.</given-names></name><name xml:lang="ru"><surname>Полоян</surname><given-names>Симон Степанович</given-names></name><name xml:lang="zh"><surname>Poloyan</surname><given-names>Simon S.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>simonpoloyan@ya.ru</email><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5470-7384</contrib-id><name-alternatives><name xml:lang="en"><surname>Sapukhin</surname><given-names>Eduard V.</given-names></name><name xml:lang="ru"><surname>Сапухин</surname><given-names>Эдуард Владимирович</given-names></name><name xml:lang="zh"><surname>Sapukhin</surname><given-names>Eduard V.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, Cand. Sci. (Medicine)</p></bio><bio xml:lang="ru"><p>канд. мед. наук</p></bio><bio xml:lang="zh"><p>MD, Cand. Sci. (Medicine)</p></bio><email>sapukhin@yandex.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1911-4468</contrib-id><name-alternatives><name xml:lang="en"><surname>Strashinsky</surname><given-names>Aleksey S.</given-names></name><name xml:lang="ru"><surname>Страшинский</surname><given-names>Алексей Сергеевич</given-names></name><name xml:lang="zh"><surname>Strashinsky</surname><given-names>Aleksey S.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>leksus-642@yandex.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8295-6687</contrib-id><contrib-id contrib-id-type="spin">4600-4071</contrib-id><name-alternatives><name xml:lang="en"><surname>Makarochkina</surname><given-names>Marina V.</given-names></name><name xml:lang="ru"><surname>Макарочкина</surname><given-names>Марина Валериевна</given-names></name><name xml:lang="zh"><surname>Makarochkina</surname><given-names>Marina V.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>m.makarochkina@gmail.com</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-9767-0454</contrib-id><name-alternatives><name xml:lang="en"><surname>Marchuk</surname><given-names>Andrey A.</given-names></name><name xml:lang="ru"><surname>Марчук</surname><given-names>Андрей Алексеевич</given-names></name><name xml:lang="zh"><surname>Marchuk</surname><given-names>Andrey A.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>maa-ped20@yandex.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7922-7600</contrib-id><name-alternatives><name xml:lang="en"><surname>Rozhanskii</surname><given-names>Alexander P.</given-names></name><name xml:lang="ru"><surname>Рожанский</surname><given-names>Александр Павлович</given-names></name><name xml:lang="zh"><surname>Rozhanskii</surname><given-names>Alexander P.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>alexanderozhanski@mail.ru</email><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9195-5480</contrib-id><name-alternatives><name xml:lang="en"><surname>Byrgazov</surname><given-names>Anton A.</given-names></name><name xml:lang="ru"><surname>Быргазов</surname><given-names>Антон Алексеевич</given-names></name><name xml:lang="zh"><surname>Byrgazov</surname><given-names>Anton A.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>byrgazov.ant-doc38@yandex.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4731-7526</contrib-id><name-alternatives><name xml:lang="en"><surname>Muravev</surname><given-names>Sergey A.</given-names></name><name xml:lang="ru"><surname>Муравьев</surname><given-names>Сергей Александрович</given-names></name><name xml:lang="zh"><surname>Muravev</surname><given-names>Sergey A.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>muravev1999sergey@mail.ru</email><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1489-5058</contrib-id><contrib-id contrib-id-type="spin">9030-1493</contrib-id><name-alternatives><name xml:lang="en"><surname>Narkevich</surname><given-names>Artem N.</given-names></name><name xml:lang="ru"><surname>Наркевич</surname><given-names>Артем Николаевич</given-names></name><name xml:lang="zh"><surname>Narkevich</surname><given-names>Artem N.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, Dr. Sci. (Medicine), Assistant Prifessor</p></bio><bio xml:lang="ru"><p>д-р мед. наук, доцент</p></bio><bio xml:lang="zh"><p>MD, Dr. Sci. (Medicine), Assistant Prifessor</p></bio><email>narkevichart@gmail.com</email><xref ref-type="aff" rid="aff4"/><xref ref-type="aff" rid="aff5"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Children’s Regional Clinical Hospital</institution></aff><aff><institution xml:lang="ru">Детская областная клиническая больница</institution></aff><aff><institution xml:lang="zh">Children’s Regional Clinical Hospital</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">Irkutsk State Medical Academy of Postgraduate Education</institution></aff><aff><institution xml:lang="ru">Иркутская государственная медицинская академия последипломного образования</institution></aff><aff><institution xml:lang="zh">Irkutsk State Medical Academy of Postgraduate Education</institution></aff></aff-alternatives><aff-alternatives id="aff3"><aff><institution xml:lang="en">Irkutsk State Medical University</institution></aff><aff><institution xml:lang="ru">Иркутский государственный медицинский университет</institution></aff><aff><institution xml:lang="zh">Irkutsk State Medical University</institution></aff></aff-alternatives><aff-alternatives id="aff4"><aff><institution xml:lang="en">South Ural State Medical University</institution></aff><aff><institution xml:lang="ru">Южно-Уральский государственный медицинский университет</institution></aff><aff><institution xml:lang="zh">South Ural State Medical University</institution></aff></aff-alternatives><aff-alternatives id="aff5"><aff><institution xml:lang="en">Voino-Yasenetsky Krasnoyarsk State Medical University</institution></aff><aff><institution xml:lang="ru">Красноярский государственный медицинский университет им. проф. В.Ф. Войно-Ясенецкого</institution></aff><aff><institution xml:lang="zh">Voino-Yasenetsky Krasnoyarsk State Medical University</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2024-04-11" publication-format="electronic"><day>11</day><month>04</month><year>2024</year></pub-date><volume>14</volume><issue>1</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><issue-title xml:lang="zh"/><fpage>121</fpage><lpage>130</lpage><history><date date-type="received" iso-8601-date="2024-01-12"><day>12</day><month>01</month><year>2024</year></date><date date-type="accepted" iso-8601-date="2024-02-27"><day>27</day><month>02</month><year>2024</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2024, Eco-Vector</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2024, Эко-Вектор</copyright-statement><copyright-statement xml:lang="zh">Copyright ©; 2024,</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="en">Eco-Vector</copyright-holder><copyright-holder xml:lang="ru">Эко-Вектор</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by-nc-nd/4.0</ali:license_ref></license></permissions><self-uri xlink:href="https://rps-journal.ru/jour/article/view/1772">https://rps-journal.ru/jour/article/view/1772</self-uri><abstract xml:lang="en"><p>The use of robots in pancreatic surgery offers several advantages as an adjunct to laparoscopic surgery, including increased maneuverability of robotic instruments and three-dimensional (3D) visualization. To our knowledge, only two cases of robot-assisted distal pancreatectomy with spleen preservation in children have been reported worldwide. In this study, the patient was an 11-year-old boy who was admitted to a children’s hospital with complaints of recurrent upper abdominal pain. He was diagnosed with pancreatic tumor based on ultrasound findings. It was confirmed by magnetic resonance imaging, which revealed a well-defined heterogeneous formation at the border of the body and tail of the pancreas, measuring 2.28 × 2.73 × 2.62 cm with compression of the Wirsung duct. The surgical intervention was performed using a surgical robot VERSIUS (CMR, (UK). Splenic vessels were mobilized carefully, a tourniquet was placed around the body of the pancreas, and it was intersected using a stapler at the border of healthy tissue. The surgical intervention took 340 min, including robot installation time (docking time) of 15 min and a main console time of 325 min. No serious intraoperative complications, such as bleeding or damage to the vascular structures adjacent to the pancreas (branches of the celiac trunk and portal vein), were noted. Histological examination of the tumor confirmed the diagnosis of a solid pseudopapillary tumor. After surgery, the patient’s condition was stable. Recovery proceeded without complications. Magnetic resonance imaging of the abdominal cavity, which was performed 6 months after surgery, revealed no signs of disease recurrence. Robot-assisted surgery is an acceptable alternative to laparoscopic and open surgery for patients with solid pseudopapillary pancreatic tumors because robots offer additional connections, enable closure in improved 3D imaging, increase dexterity when handling instruments, and eliminate of hand tremors.</p></abstract><trans-abstract xml:lang="ru"><p>Применение роботов в хирургии поджелудочной железы предлагает несколько преимуществ в качестве дополнения к лапароскопической хирургии, включая повышенную маневренность при работе роботическими инструментами и трехмерную визуализацию. Использование робот-ассистированной дистальной панкреатэктомии с сохранением селезенки у детей представлено только двумя случаями в мире. Объектом лечения являлся мальчик в возрасте 11 лет, который поступил в детскую больницу с жалобами на рецидивирующую боль в верхних отделах живота. Диагноз «опухоль поджелудочной железы» был установлен на основании ультразвукового исследования и подтвержден с помощью магнитно-резонансной томографии, которая выявила на границе тела и хвоста поджелудочной железы хорошо очерченное гетерогенное образование, размерами 2,28 × 2,73 × 2,62 см с компрессией вирсунгова протока. Хирургическое вмешательство было выполнено с помощью хирургического робота Versius производства компании CMR (Великобритания). Деликатными действиями производилась мобилизация селезеночных сосудов, проведение турникета вокруг тела поджелудочной железы и ее пересечение с использованием степлера на границе здоровых тканей. Длительность хирургического вмешательства составила 340 мин. Из них длительность инсталляции робота (время докинга) занимала 15 мин. Основное консольное время — 325 мин. В ходе операции не отмечено серьезных осложнений в виде кровотечения или повреждение соседних с поджелудочной железой сосудистых структур. Гистологическое исследование опухоли подтвердило диагноз солидной псевдопапиллярной опухоли. После операции состояние пациента было стабильным. Восстановление протекало без осложнений. Магнитно-резонансная томография брюшной полости, выполненная через 6 мес. после операции, не выявила признаков рецидива заболевания. Робот-ассистированная операция является приемлемой альтернативой лапароскопической и открытой операции у пациентов с солидной псевдопапиллярной опухолью поджелудочной железы, поскольку робот предоставляет дополнительные преимущества, заключающиеся в улучшенном 3D-изображении, повышенной маневренности при работе инструментами и фильтрации тремора рук.</p></trans-abstract><trans-abstract xml:lang="zh"><p>机器人作为腹腔镜手术的辅助手段，在胰腺手术中的应用具有多种优势，包括提高机器人仪器的可操作性和三维可视性。在儿童中使用机器人辅助并保留脾脏的远端胰腺切除术，在全世界仅有两例。治疗对象是一名 11 岁的男孩，他因上腹出现反复疼痛而住进一家儿童医院。根据超声波检查确诊为胰腺肿瘤，并通过磁共振成像进行了确诊。磁共振成像显示，在胰腺体和胰尾交界处有一个圆形异质肿块，大小为 2.28 × 2.73 × 2.62 厘米，压迫了室间隔导管。手术使用英国 CMR 公司生产的 Versius 手术机器人进行。使用精细的操作移动脾脏血管，引导止血带绕过胰腺体，并在健康组织边界使用吻合器将其穿过。手术时间为 340 分钟。其中，机器人安装时间（对接时间） 为 15 分钟。主控台时间为 325 分钟。手术期间未发现出血或胰腺邻近血管结构受损等严重并发症。 肿瘤的组织学检查确诊为实性假乳头状肿瘤。术后，患者病情稳定。术后恢复顺利，未出现并发症。 术后 6 个月进行的腹腔磁共振成像检查没有发现疾病复发的迹象。机器人辅助手术对于实性假乳头状胰腺肿瘤患者来说是腹腔镜手术和开腹手术的可接受替代方案。机器人还具有改善三维成像、提高仪器可操作性和过滤手颤等优势。</p></trans-abstract><kwd-group xml:lang="en"><kwd>solid pseudopapillary tumor</kwd><kwd>pancreas</kwd><kwd>distal pancreatectomy with spleen preservation</kwd><kwd>robot-assisted surgery</kwd><kwd>children</kwd><kwd>case report</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>солидная псевдопапиллярная опухоль</kwd><kwd>поджелудочная железа</kwd><kwd>дистальная панкреатэктомия с сохранением селезенки</kwd><kwd>робот-ассистированная хирургия</kwd><kwd>дети</kwd><kwd>клинический случай</kwd></kwd-group><kwd-group xml:lang="zh"><kwd>实性假乳头状瘤</kwd><kwd>胰腺</kwd><kwd>保留脾脏的胰腺远端切除术</kwd><kwd>机器人辅助手术</kwd><kwd>儿童</kwd><kwd>临床病例</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><citation-alternatives><mixed-citation xml:lang="en">Papavramidis T, Papavramidis S. 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