经脐单切口腹腔镜手术治疗6例婴幼儿小肠套叠  

Transumbilical Single Incision Laparoscopic Treatment for Small Intestine Intussusception in 6 Infants

作　　者：管考平[1] 刘树立[1] 李旭[1] 张军[1] 叶茂 魏延栋[1] 李龙[1] Guan Kaoping;Liu Shuli;Li Xu(Department of Surgery,Affiliated Children＇s Hospital of Capital Institute of Pediatrics,Beijing 100010,China)

机构地区：[1]首都儿科研究所附属儿童医院外科,北京100010

出　　处：《中国微创外科杂志》2018年第6期559-561,共3页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的探讨脐部单切口腹腔镜手术治疗婴幼儿小肠套叠的可行性和安全性。方法 2014年3月~2016年3月对6例小肠套叠患儿采用经脐单孔腹腔镜探查复位,其中单纯小肠套叠3例,1例合并憩室行楔形切除术;2例合并肠重复畸形行肠切除吻合,3例消化道畸形均经脐切口提出腹外完成病变切除肠吻合术。结果 6例均顺利完成手术,手术时间30~65 min,平均41.7 min。术后2~5 d(平均3 d)进流质饮食,3~7 d(平均5 d)出院,无严重并发症发生。6例随访3~10个月,平均6个月,患儿生长发育良好,脐部无明显瘢痕,外观满意。结论经脐单切口腹腔镜手术治疗婴幼儿小肠套叠安全、可行。Objective To evaluate the feasibility, safety and efficacy of transumbilical single incision laparoscopic hepapaticojejunostomy （SILH） for small intestine intussusceptions in infants. Methods Between March 2014 and March 2016, there were 6 cases of small intestine intussusception. Laparoscopic exploration was performed by transumbilical procedure. There were 3 cases of simple small intestine intussusceptions, including 1 case of combined diverticulum receiving wedge resection and 2 cases of combined intestinal duplication receiving resection and anastomosis. There were 3 cases of digestive tract malformation, which were given extraperitoneal resection and anastomosis through the umbilical incision. Results All the patients underwent operation successfully. The operative time was 30-65 min （mean, 41.7 min）. Oral intake of liquid diet started on postoperative 2-5 d （mean, 3 d）. The length of hospitalization was 3-7 d （mean, 5 d）. No severe complications were found. All the patients were followed up for 3-10 months （mean, 6 months）. The infant patients had normal growth and development and satisfactory abdominal appearance, without obvious scars. Conclusion Transumbilical single incision laparoscopic treatment for small intestine intussusceptions in infants is safe and feasible.

关 键 词：婴幼儿 腹腔镜 急性肠套叠 单孔 

分 类 号：R726.5[医药卫生—儿科]