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目的探讨6个月以内婴儿腹腔镜手术的特点。方法回顾性分析98例6个月以内婴儿腹腔镜手术情况及其术后并发症。结果47例探查性手术中46例在腹腔镜下明确诊断,1例中转开腹。51例治疗性手术中2例中转开腹。术后合并呼吸道感染11例,高碳酸血症14例,心肌酶异常1例。无围手术期死亡,无伤口感染及切口疝。结论在婴儿外科手术中应用腹腔镜技术创伤小、术后合并症少,具有临床应用前景。
Objective To investigate the characteristics of infant laparoscopic surgery within 6 months. Methods A retrospective analysis of 98 cases of infants laparoscopic surgery within 6 months and its postoperative complications. Results Of the 47 cases of exploratory surgery, 46 cases were diagnosed laparoscopically and 1 case was converted to laparotomy. In 51 cases, 2 cases were converted to laparotomy. Postoperative respiratory infection in 11 cases, 14 cases of hypercapnia, myocardial enzyme abnormalities in 1 case. No perioperative death, no wound infection and incisional hernia. Conclusion The application of laparoscopic surgery in infants surgeries is less traumatic and has fewer postoperative complications. It has the potential of clinical application.