腹腔镜诊治小婴儿肠旋转不良的探讨  

Investigation on the Minitrauma Therapy of Congenital Intestinal Malrotation by Using Laparoscopic Surgery in Neonate and Younger Infants

作　　者：陈兰萍[1] 任红霞[1] 陈淑芸[1] 韩湘珍[1] 

机构地区：[1]山西省儿童医院外科,山西太原030013

出　　处：《临床小儿外科杂志》2004年第6期409-411,共3页Journal of Clinical Pediatric Surgery

摘　　要：目的探讨小婴儿先天性肠旋转不良的微创诊治,总结经验教训。方法回顾性分析5例小婴儿肠旋转不良的临床资料,均于全麻下脐环下方、左右上腹部作切口约0.5cm,行Ladd’s手术。结果本组5例手术均获得成功,4例术后第2d肠功能恢复,开始进食,1例65d的患儿术后3d因十二指肠梗阻再次手术,术中证实系十二指肠隔膜,经腹行隔膜切除术。全部病例随访2～6月,预后良好。结论腹腔镜手术治疗小婴儿先天性肠旋转不良具有打击轻、创伤小、恢复快的优点,可推广使用。Objective To investige the minitrauma therapy of congenital intestinal malrotation using laparoscopic surgery in neonate and infants. Methods The Clinical data of 5 patients with intestinal malrotation were reviewed. The 5 patients underwent laparoscopic Ladd's procedure. The procedure was performed using three trocars of 5 mm diameter placed at the infraumbilical ring lower part and the right and left lower quadrants under genenal anesthesia. Results All procedures were completed under laparoscopic guide. Feeding was started on next Day in 4 patients. A boy was operated again 3 days postoperation because of duodenal obstruction. Conclusions Our results suggest that laparoscopic Ladd's procedure can be performed safely for congenital intestinal malrotation of neonate and younger infants. Laparoscopic operation has merits of minitrauma,quick recovery,etc. Therefore, it can be applied wide-ranging in pediatric surgery.

关 键 词：肠疾病/诊断 肠疾病/外科学 外科手术 腹腔镜 

分 类 号：R726.56[医药卫生—儿科]