腹腔镜经脐部切口治疗新生儿先天性肠闭锁  

Laparoscopy-assisted surgery for neonates with congenital intestinal atresia

作　　者：樊剑锋[1] 程明[1] 王达丰[1] 石英佐[1] 朱晓敏[1] 荆玉雷[1] 

机构地区：[1]无锡市儿童医院新生儿外科,214023

出　　处：《中华腔镜外科杂志（电子版）》2017年第1期60-62,共3页Chinese Journal of Laparoscopic Surgery(Electronic Edition)

摘　　要：目的探讨腹腔镜经脐部切口治疗新生儿先天性肠闭锁(congenital intestinal atresia,CIA)的临床疗效。方法回顾性分析2012年1月至2016年6月无锡市儿童医院采取腹腔镜经脐部切口治疗新生儿CIA的22例临床资料。结果 22例中,19例在腹腔镜经脐部切口成功完成肠闭锁手术,术后瘢痕不明显或小;1例另选小切口,2例中转开腹手术,术后瘢痕明显。其中21例治愈,1例放弃。术后无并发症。结论腹腔镜辅助经脐部切口治疗新生儿CIA,具有创伤小、恢复快、手术安全、切口美观、腹壁"无瘢痕"等临床优势,但部分患儿需中转开腹手术。Objective To assess the clinical effect of laparoscopy-assisted surgery for neonatal congenital intestinal atresia（CIA）. Methods From Jan. 2012 to Jun. 2016, the CIA clinical data of 22 cases of laparoscopy-assisted anastomosis via the umbilical port site were analyzed retrospectively. Results Of 22 cases, 19 cases were successfully implemented by laparoscopy-assisted anastomosis with very small abdominalsca, 2 cases conversed into open surgery with showy abdominalsca. 21 cases were cured, and 1 cases abandoned treatment. No Postoperative complications occurred in 22 cases. Conclusions Laparoscopy-assisted surgery has advantages such as less trauma, faster recovery, safe and feasible, cosmetic effect, with small abdominalsca, but some cases need conversions to open surgery.

关 键 词：腹腔镜 先天性肠闭锁 新生儿 

分 类 号：R722.1[医药卫生—儿科]