腹腔镜下先天性巨结肠根治术的临床应用  

Clinical analysis of laparoscopy in radical operation on congenital megacolon

作　　者：黄冀华[1] 梁伟成[1] 邓建中[1] 

机构地区：[1]广东高州市人民医院普外科,525200

出　　处：《结直肠肛门外科》2007年第3期141-143,共3页Journal of Colorectal & Anal Surgery

摘　　要：目的：探讨腹腔镜下行先天性巨结肠根治术的临床应用价值。方法：1999-2006年行腹腔镜先天性巨结肠根治术32例。观察手术过程、术中出血、术后并发症、大便排出等情况。术后门诊随访。结果：32例均获成功,无中转开腹。手术出血最多1例为50mL,无术后继发性出血,术后35.5（24-48）h胃肠功能恢复。术后平均住院7.3（6-8）d。无吻合口漏病例,所有患儿每日排便2-6次,无大便失禁或污粪。结论：腹腔镜先天性巨结肠根治术损伤小、胃肠干扰小、术后恢复快,值得进一步探索、临床推广应用。Objective：To investigate the clinical value of laparoscopy in laparoscopy radical operation on congenital megacolon. Methods： Thirty-two cases with congenital megacolon underwent radical operation under laparoscopy. Results： All cases were operated on successfully. The max amount of bleeding during operating was 50 ml. No postoperative hemorrhage. The patients recovered their gastrointestinal function in 35.5 （24-48） h and the average length of postoperative hospital stay was 7.3 （6-8） days. No cases had anastomotic leakage. The bowel movements were 2 to 6 times per day without fecal incontinence or soiling. Conclusion： Laparoscopy radical operation for congenital megacolon can be carried out safely and effectively with rapid recovery.

关 键 词：先天性巨结肠症 腹腔镜 外科 

分 类 号：R726.5[医药卫生—儿科]