腹腔镜下治疗长段型先天性巨结肠3例临床分析  

Laparoscopy in radical operation on long segment Hirschprung disease:with a report of 3 cases

作　　者：张勇[1] 刘建[1] 祝东强[1] 赵伟[1] 黄金向[1] 

机构地区：[1]成都市第五人民医院,四川成都611130

出　　处：《四川医学》2014年第2期209-211,共3页Sichuan Medical Journal

摘　　要：目的 探讨腹腔镜下长段型先天性巨结肠根治术的临床价值.方法行电视腹腔镜长段型先天性巨结肠根治术3例.结果 3例均获成功,无中转开腹.术后胃肠功能1~2d恢复,术后平均9~11d出院.无吻合口漏、术后大出血、腹膜炎病例,随访疗效满意.结论 腹腔镜技术非常适合大多数的HD患儿,其优势明显优于传统开放手术;对于长段型巨结肠的治疗,选择腹腔镜辅助下Duhamel术式是明智的.Objective To study the feasibility,safety andadvantages of laparoscopy in radical operation on long segment Hirschprung disease. Methods 3 cases with long segment hirschprung disease were performed radical operation under Laparoscopy. Results All were succeeded done. Postpoerativeiy,the patients recovered their gastrointestinal function in 1 -2days and were out hospital after 9 - 11 days. No cases had anastomotic leakage, large amount of bleeding and peritonitis. Conclusion The laparoscopic technique were suitable for the majority of hirschprung disease, its obvious advantages superior to traditional open surgery; It were wise to select the laparoscopic-assisted the Duhamel surgical treatment of long segment hirschprung disease.

关 键 词：腹腔镜 长段型巨结肠 外科手术 

分 类 号：R726.5[医药卫生—儿科]