腹腔镜辅助小切口在新生儿长段型巨结肠根治术中的应用  

Laparoscope Assisted Transnavel Small Incision Applied to Treat Eratical the Long-segment Type Congenital Megacolon in Neonates

作　　者：余雷[1] 胡家高[1] 鲁威[1] 邢福中[1] 谢艳丽[1] 

机构地区：[1]武汉市儿童医院新生儿外科,湖北武汉430016

出　　处：《临床小儿外科杂志》2006年第3期181-182,218,共3页Journal of Clinical Pediatric Surgery

摘　　要：目的探讨新生儿长段型先天性巨结肠的微创手术方法。方法采用腹腔镜辅助经脐小切口拖出病变肠管,于直视下处理肠系膜,经肛门Soave术一期根治新生儿长段型先天性巨结肠。结果9例患儿均一期完成手术,平均手术时间100～120min,切除病变肠管26～40cm。其中3例行升结肠翻转术。全部病例于术后第3d进食,第10d扩肛后出院,脐部切口隐蔽,无明显疤痕。结论腹腔镜辅助经脐小切口根治新生儿长段型先天性巨结肠,具有创伤小,术后并发症少,切口小而隐蔽等优点。Objective To study the minitraumatic operation method for long-segment type congenital megacolon in neonates. Methods Minilaparoscope assisted transnavel pull-through the lesion intestinal tube, the mesentery was managed under opening visual field and combined with transanal endorectal pull-through Soave operation to treat eradical long-segment type congenital megacolon. Results All the 9 cases received the operation stage Ⅰ. The operation duration was from 100 to 120 min, resected lesion intestinal tube length was from 26 to 40 cm, 3 cases of them underwent an ascenting colon subvolutive operation. The sick neonates start took milk in 3rd after the operation, then anus dilatation, and discharge in 10th day, the navel incision consealment, obviously scar was no seen.Conclusion lapavoscope transvavel small incision could satisfactorily complete eradical the operation for longsegment type congenital megacolon of neonates. As compared with simple laparoscope routine therapy, the therapeutic method has some advantages; for exsample, its trauma small, opening visual manipulation, less complications after the operation, and the operation recinsion small, also more concealment.

关 键 词：Hirschsprung病/外科学 外科手术 腹腔镜 

分 类 号：R726.5[医药卫生—儿科]