腹腔镜幽门环肌切开术治疗先天性肥厚性幽门狭窄  

Laparoscopic Pyloromyotomy for Infantile Hypertrophic Pyloric Stenosis

作　　者：陈永卫[1] 侯大为[1] 陈幼容[1] 

机构地区：[1]北京儿童医院外科,100045

出　　处：《中华小儿外科杂志》1999年第6期343-344,共2页Chinese Journal of Pediatric Surgery

摘　　要：目的介绍腹腔镜治疗先天性肥厚性幽门狭窄的初步经验。方法1998年以来应用腹腔镜治疗先天性肥厚性幽门狭窄15例，平均年龄40天，平均体重3．8kg。在气管插管＋单次硬膜外麻醉下，脐上皮肤小切口，Veress针穿刺入腹，注入CO2，建立气腹，压力为10～14mmHg（1．33～1．86kPa），此处置一4mm套管，放入腹腔镜，直视下左右上腹备置一套管，放入操作器械，完成幽门环肌切开。结果平均手术时间37min，术后6h开始喂养，平均术后5天出院，无手术失败及术后并发症发生。通过这15例手术后的住院观察证实：术后第2天出院是安全的。结论腹腔镜治疗先天性肥厚性幽门狭窄是安全可靠的。To review the preliminary experience of laparoscopic pyloromyotomy for in -fantile pyloric stenosis.Methods Since May 1998 15 patients with infantiIe hypertrophic pyloric stenosis underwent laparoscopic pyloromyotomy.The mean age was 40 dsys and the mean they weight was 3. 77kg.Under epidural anesthesia and tracheal intubation ,carbon dioxide was insufflated into abdominal cavity via a Veress needle,reaching a insufflation pressure of 10-14 mmHg.One umbilical camera port and two sub-costal instrument ports were made. Results The mean operative time was 37 minutes. Oral feeding was started 6 hours postoperatively.The average hospitalization was 5 days (4-7days). No complication was en-countered. After an initial trail period, the patients were discharged 2 days after the operation. Conclusion Laparoscopic pyloromyotomy for infantile ypertrophic pyloric stenosis is safe and feasible.

关 键 词：幽门狭窄 腹腔镜术 幽门环肌切开术 儿童 

分 类 号：R726.566.3[医药卫生—儿科]