切换至 "中华医学电子期刊资源库"

中华腔镜外科杂志(电子版) ›› 2026, Vol. 19 ›› Issue (02) : 83 -88. doi: 10.3877/cma.j.issn.1674-6899.2026.02.003

专家论坛

中国小儿微创外科45年:回顾与展望
汤绍涛(), 张梦欣, 郑佳雨   
  1. 430022 武汉,华中科技大学同济医学院附属协和医院
  • 收稿日期:2026-02-10 出版日期:2026-04-30
  • 通信作者: 汤绍涛

Pediatric minimally invasive surgery in China: 45 years of review and future perspectives

Shaotao Tang(), Mengxin Zhang, Jiayu Zheng   

  1. Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
  • Received:2026-02-10 Published:2026-04-30
  • Corresponding author: Shaotao Tang
引用本文:

汤绍涛, 张梦欣, 郑佳雨. 中国小儿微创外科45年:回顾与展望[J/OL]. 中华腔镜外科杂志(电子版), 2026, 19(02): 83-88.

Shaotao Tang, Mengxin Zhang, Jiayu Zheng. Pediatric minimally invasive surgery in China: 45 years of review and future perspectives[J/OL]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2026, 19(02): 83-88.

自1981年美国Gans教授首次将腹腔镜技术带入中国,中国小儿微创外科已走过45年的辉煌历程。本文系统梳理了从Gans教授技术传入、中国内地-香港小儿腔镜培训项目奠基、到"儿科微创万里行"推动全国普及的完整历史脉络。重点介绍各关键历史阶段的代表性专家、重要技术突破、高水平学术论文及标志性科技成果,并基于当前机器人手术的兴起,剖析学科面临的挑战与未来发展趋势。

Since Professor Gans from the United States first introduced laparoscopic technology to China in 1981, pediatric minimally invasive surgery in China has embarked on a glorious journey spanning 45 years. This article systematically reviews the complete historical trajectory, from the introduction of Professor Gans′ technology, and the establishment of the pediatric laparoscopic training program in Chinese Mainland-Hong Kong, to the nationwide popularization promoted by the "Pediatric Minimally Invasive Miles" initiative. It highlights representative experts, significant technological breakthroughs, high-level academic papers, and landmark technological achievements in each key historical stage. Furthermore, based on the current rise of robotic surgery, it analyzes the challenges faced by the discipline and explores its future development trends.

[1]
张金哲. 张金哲小儿腹部外科学[M]. 杭州:浙江科学技术出版社,2008, 574-579.
[2]
Zhang JZ, Li L. Evolution of surgical paediatrics in China[J]. J Pediatr Surg, 2003, 38(7 Suppl): 48-52.
[3]
陈美章,章希圣.小儿腹腔镜检查[J]. 中华外科杂志1987, 25(11): 632.
[4]
李龙,刘树立. 小儿腔镜外科的发展及现状[J]. 中华小儿外科杂志2014, 35(6):401-405.
[5]
李龙. 我国小儿腔镜外科的现状和展望[J]. 中华小儿外科杂志201637(10):721-723.
[6]
李索林. 小儿腹股沟疝腹腔镜手术操作指南(2017版)[J/OL]. 中华疝和腹壁外科杂志(电子版), 201812(10):1-5.
[7]
李昂,李弈彤. 医路求索誉满杏林——记河北医科大学第二医院小儿外科主任李索林[J]. 中国科技成果201510:76-77.
[8]
Chi S, Fang M, Li K, et al. Diagnosis of hirschsprung′s disease by immunostaining rectal suction biopsies for calretinin, S100 protein and protein gene product 9.5[J]. J Vis Exp, 2019, (146).
[9]
Yang L, Tang ST, Cao GQ, et al. Transanal endorectal pull-through for Hirschsprung′s disease using long cuff dissection and short V-shaped partially resected cuff anastomosis: early and late outcomes[J]. Pediatr Surg Int, 2012, 28(5):515-521.
[10]
Zhang X, Yang L, Tang ST, et al. Laparoscopic Duhamel procedure with ex-anal rectal transection for right-sided Hirschsprung′s disease[J]. J Laparoendosc Adv Surg Tech A, 201727(9):972-978.
[11]
Aubdoollah TH, Li K, Zhang X, et al. Clinical outcomes and ergonomics analysis of three laparoscopic techniques for Hirschsprung′s disease[J]. World J Gastroenterol, 201521(29):8903-8911.
[12]
Zhou Y, Jiang M, Tang ST, et al. Laparoscopic finding of a hepatic subcapsular spider-like telangiectasis sign in biliary atresia[J]. World J Gastroenterol, 2017, 23(39):7119-7128.
[13]
Yang L, Zhou Y, Xu PP, et al. Diagnostic accuracy of serum Matrix Metalloproteinase-7 for biliary atresia[J]. Hepatology, 2018, 68(6):2069-2077.
[14]
Li L, Feng W, Jing-Bo F,et al. Laparoscopic-assisted total cyst excision of choledochal cyst and Roux-en-Y hepatoenterostomy[J]. J Pediatr Surg, 2004, 39(11):1663-1666.
[15]
Diao M, Li L, Li Q, et al. Challenges and strategies for single-incision laparoscopic Roux-en-Y hepaticojejunostomy in managing giant choledochal cysts[J]. Int J Surg, 2014, 12(5):412-417.
[16]
Liu W, Yin T, Chen X, et al. Single-incision laparoscopic hepaticojejunostomy with selective ductoplasty for type IV-A Choledochal cysts in children: a retrospective study[J]. BMC Surg, 2024, 24(1):359.
[17]
Diao M, Li L, Cheng W. Timing of choledochal cyst perforation[J]. Hepatology, 2020, 71(2):753-756.
[18]
Yang S, Yang R, Ma X, et al. Detail correction for Gross classification of esophageal atresia based on 434 cases in China[J]. Chin Med J (Engl), 2021, 135(4):485-487.
[19]
Zhao J, Zhao Y, Yang S, et al. Thoracoscopic repair for esophageal pulmonary fistula after esophageal atresia repair[J]. J Pediatr Surg, 2022, 57(11):538-542.
[20]
Hua K, Yang S, Fan W, et al. Esophageal elongation by bougienage and delayed primary thoracoscopic anastomosis for pure esophageal atresia without tracheoesophageal fistula[J]. Pediatr Surg Int, 2022, 38(7):1005-1012.
[21]
Zhang Y, Wang M, Li S, et al. Indocyanine green fluorescence imaging localization-assisted thoracoscopy revision surgery after repair of esophageal atresia[J]. BMC Gastroenterol, 2022, 22(1):373.
[22]
Zhang M, Zhang X, Chi S, et al. Robotic-assisted proctosigmoidectomy versus laparoscopic-assisted soave pull-through for Hirschsprung disease: medium-term outcomes from a prospective multicenter study[J]. Ann Surg, 2025, 281(4):689-697.
[23]
Zhang M, Huang J, Jin Z, et al. Comparison of robotic versus thoracoscopic repair for congenital esophageal atresia: a propensity score matching analysis[J]. Int J Surg, 2024, 110(2):891-901.
[24]
Zhang MX, Tang JF, Cai DT, et al. Technical performance, surgical workload and patient outcomes of robotic and laparoscopic surgery for pediatric choledochal cyst: a multicenter retrospective cohort and propensity score-matched study[J]. Hepatobiliary Surg Nutr, 2025, 14(5):726-741.
[25]
Cao H, Wu Y, Li P, et al. Long-term outcomes of multi-institutional minimally invasive appendiceal onlay ureteroplasty for managing complex proximal ureteral strictures in pediatric patients[J]. J Pediatr Surg, 2025, 60(7):162316.
[26]
Liu D, Zhou H, Hao X, et al. Laparoscopic Yang-Monti ureteral reconstruction in children[J]. Urology, 2018, 118:177-182.
[27]
林珊,何少华,李立帜,等. 经脐单孔加一达芬奇机器人在儿童先天性胆总管囊肿手术中应用观察[J]. 中华医学杂志2021101(44):3655-3659.
[28]
Li G, Gao H, Yu S, et al. Single-port robotic-assisted laparoscopic synchronous surgery in pediatric patent processus vaginalis[J]. BMC Surg, 2024, 24(1):109.
[29]
Jin Y, Chen Q, Zhang Y, et al. Robot-assisted resection of choledochal cysts in children weighing less than 6 kg[J]. Br J Surg, 2023, 110(2):267-268.
[30]
Xie X, Li K, Wang J, et al. Comparison of pediatric choledochal cyst excisions with open procedures, laparoscopic procedures and robot-assisted procedures: a retrospective study[J]. Surg Endosc, 2020, 34(7):3223-3231.
[31]
罗洋,谢小龙,向波. 儿童腔镜辅助胆总管囊肿切除术胆肠吻合处理策略研究[J]. 中华腔镜外科杂志202417(2):70-75.
[32]
Liang J, Ren H, Chang X, et al. Safety and feasibility of robot-assisted laparoscopic telesurgery in pediatric surgery: a case series[J]. Transl Pediatr, 2025, 14(8):1982-1990.
[33]
祝代威,刘远梅,郑泽兵,等. 达芬奇机器人辅助改良Soave术治疗先天性巨结肠临床疗效评估[J]. 遵义医科大学学报202447(11):1099-1103.
[34]
Huang J, Huang Z, Mei H, et al. Cost-effectiveness analysis of robot-assisted laparoscopic surgery for complex pediatric surgical conditions[J]. Surg Endosc, 2023, 37(11):8404-8420.
[35]
李索林,孙驰. 经自然腔道腹腔镜辅助巨结肠根治术[J]. 临床小儿外科杂志201211(1):65-67.
[36]
曾纪晓,梁子建. 单孔腹腔镜手术在儿童普通外科中的应用与展望[J/OL]. 中华腔镜外科杂志(电子版), 202417(2):65-69.
[37]
Esposito C, Settimi A, Del Conte F, et al. Image-guided pediatric surgery using indocyanine green (ICG) fluorescence in laparoscopic and robotic surgery[J]. Front Pediatr, 2020, 8:314.
[38]
Cervone A, Rainey J, Sodhi N, et al. The perspectives of robotic surgeons[J]. Surg Technol Int, 2024, 44:25-28.
[39]
Miyake Y, Retrosi G, Keijzer R. Artificial intelligence and pediatric surgery: where are we?[J]. Pediatr Surg Int, 2024, 41(1):19.
[40]
Brockel MA, Raman VT. Pediatric enhanced recovery after surgery (ERAS): Advancements and outcomes in the last 5 years[J]. Curr Opin Anaesthesiol, 2025, 38(3):267-271.
[41]
Vaughn A, Reynolds R, Zenge J, et al. Fetal surgery and neonatal ICU admissions[J]. Curr Opin Pediatr, 2020, 32(4):619-624.
[1] 陈阔, 齐晓伟, 宋达疆, 吕鹏威. 机器人技术在乳腺外科的临床应用[J/OL]. 中华乳腺病杂志(电子版), 2026, 20(01): 9-15.
[2] 闫泽辉, 李凯鑫, 狄靖凯, 秦颖达, 郭子瑊, 穆昶江, 张智博, 王宇泽, 向川. 机器人辅助治疗先天性髋关节发育不良的进展[J/OL]. 中华关节外科杂志(电子版), 2026, 20(02): 227-234.
[3] 朴成林, 蓝炘, 冯健, 司振铎, 张超, 李强, 安峰铎, 冷建军. 国产单孔手术机器人辅助胰管空肠吻合术治疗慢性胰腺炎:首例报道[J/OL]. 中华普通外科学文献(电子版), 2026, 20(02): 144-144.
[4] 刘光年, 杨尹默. 数字智能化在胰腺癌微创外科应用的现状与展望[J/OL]. 中华普外科手术学杂志(电子版), 2026, 20(03): 205-209.
[5] 周放, 刘海晨, 王宇超, 郭健, 石志良, 周国强, 沈成龙. "三孔法"腹腔镜手术治疗急性乙状结肠穿孔的临床应用[J/OL]. 中华普外科手术学杂志(电子版), 2026, 20(02): 154-157.
[6] 何子勤, 李俊涛, 张翼飞, 肖楚天, 赵阳杰, 钟文文, 叶雷, 邱剑光, 王德娟. 机器人辅助单孔腹腔镜肾盂成形术在小儿肾盂输尿管连接部梗阻中的应用[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2026, 20(03): 279-284.
[7] 程鑫, 任琼, 李天博, 李阳, 王朝鹏, 李怡. 隐匿小切口疝囊高位结扎术治疗小儿腹股沟疝及交通性鞘膜积液896例临床分析[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2026, 20(03): 317-322.
[8] 李旭文, 朱亿豪, 杨飞亚, 陈灿, 李亚健, 王明帅, 宋刚, 叶雄俊. 三阶段培养模式在泌尿外科腔镜医师培养中的应用[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2026, 20(03): 330-335.
[9] 陈智溢, 张恩溥, 戴平, 姜刚刚, 甘露, 黄谋, 张文娟, 杨江根, 黄桂晓. 机器人手术治疗盲肠膀胱瘘一例并文献复习[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2026, 20(02): 226-230.
[10] 于昆, 司仙科, 郑侃, 陈志升, 李森, 杨佳华, 李炜. 单孔腹腔镜完全腹膜外腹股沟疝修补术的临床应用[J/OL]. 中华疝和腹壁外科杂志(电子版), 2026, 20(02): 168-173.
[11] 温腾飞, 王泽玉, 康俊升. 胃原发性高级别未分化肉瘤治疗报告[J/OL]. 中华腔镜外科杂志(电子版), 2026, 19(01): 45-48.
[12] 中国医师协会结直肠肿瘤专业委员会单孔腹腔镜学组. 单孔腹腔镜结直肠手术专家共识(2025版)[J/OL]. 中华结直肠疾病电子杂志, 2026, 15(02): 97-103.
[13] 中国医师协会结直肠肿瘤专业委员会, 中国抗癌协会NOSES专业委员会, 中国NOSES联盟. 结肠镜辅助结肠肿瘤经自然腔道取标本手术专家共识及操作标准[J/OL]. 中华结直肠疾病电子杂志, 2026, 15(02): 104-114.
[14] 《中华胸部外科电子杂志》编辑部. 达芬奇菁英术者系列线上研讨会第一期:机器人气管外科技术前沿专题[J/OL]. 中华胸部外科电子杂志, 2026, 13(01): 88-90.
[15] 《中华胸部外科电子杂志》编辑部. 达芬奇菁英术者系列线上研讨会第二期:新辅助免疫治疗后机器人肺外科专题[J/OL]. 中华胸部外科电子杂志, 2026, 13(01): 91-94.
阅读次数
全文


摘要


AI


AI小编
你好!我是《中华医学电子期刊资源库》AI小编,有什么可以帮您的吗?