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目的 总结腹腔镜辅助下改良Swenson’s术根治先天性巨结肠症的疗效、并发症及操作经验。方法 回顾性分析华中科技大学同济医学院附属协和医院 1999年 10月至 2 0 0 4年 2月 6 6例先天性巨结肠症患儿的临床资料 ,并对操作经验进行总结。结果 全部病例Ⅰ期根治获得成功 ,无中转开腹 ,平均手术时间 (190± 2 3)min ,术后平均住院时间 (6 .5± 1.0 )d ,无腹腔镜操作有关的近期严重并发症 ,远期随访无大便失禁及便秘复发。结论 腹腔镜辅助下改良Swenson’sⅠ期根治先天性巨结肠症是安全、有效的治疗方法 ,并体现微创的优越性 ,值得推广。
Objective To summarize the curative effect, complications and operating experience of laparoscopic-assisted modified Swenson’s technique in the treatment of Hirschsprung’s disease. Methods The clinical data of 66 children with Hirschsprung’s disease from October 1999 to February 2004 in Union Hospital of Tongji Medical College of Huazhong University of Science and Technology were retrospectively analyzed. The operating experience was summarized. Results All the cases were successfully treated in stage Ⅰ, without transit to laparotomy. The average operation time was (190 ± 23) min and the average postoperative hospital stay was (6.5 ± 1.0) d. There were no serious complications related to laparoscopic operation. Long-term follow-up no fecal incontinence and constipation recurrence. Conclusions Laparoscopy-assisted modified Swenson’s stage I Hirschsprung’s disease is a safe and effective treatment and reflects the superiority of minimally invasive surgery, which is worthy of popularization.