腹腔镜辅助下治疗小儿下消化道出血13例  

Laparosocopically assisted treatment of lower digestive tract hemorrhage in children

作　　者：金兴硕[1] 柳宏[1] 连树华[1] 

机构地区：[1]甘肃省人民医院小儿外科,兰州730000

出　　处：《中国微创外科杂志》2005年第8期653-654,共2页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的探讨腹腔镜诊断和治疗小肠Meckel憩室的价值. 方法对11例术前疑似Meckel憩室病儿行腹腔镜探查,2例腹腔镜阑尾切除术中偶然发现合并憩室,确诊后经脐部延伸小切口,提出肠管在腹外手术. 结果 13例病儿均无中转开腹手术,手术时间30～90 min,平均75 min.术后5～6 d出院,无任何并发症. 结论腹腔镜是Meckel憩室诊断和治疗的一种行之有效的方法.Objective To explore the value of laparoscopic diagnosis and treatment for Meckel＇ s diverticulum in children.Methods Laparoscopic exploration was performed in 11 children with suspected intestinal Meckel＇ s diverticulum. In other 2 children, the diverticulum was encountered during laparoscopic appendectomy, and then the umbilical incision was prolonged to take out the corresponding intestine for resection. Results No conversions to laparotomy were required in all the 13 children. The operation time lasted 30 - 90 min （mean, 75 min）. The children were discharged at 5 - 6 postoperative days without complications.Conclusions Laparoscopic diagnosis and treatment for Meckel＇ s diverticulum in children is effective.

关 键 词：腹腔镜 MECKEL憩室 

分 类 号：R726.5[医药卫生—儿科]