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目的 介绍腹腔镜Nissen’s胃底折叠术治疗小儿胃食管反流性疾病。方法 总结上海儿童医学中心 2001年 10月～2003年 2月、芝加哥大学儿童医院 2001年 7月～2002年 7月腹腔镜Nissen’s 胃底折叠术治疗小儿胃食管反流性疾病50例。患儿年龄1个月～17岁(平均年龄3.7岁)。结果 49例镜下完成Nissen’s术,平均手术时间93.8min(57～211 min)。术后平均1.3 d进食(1～4d),术后平均住院天数4.5 d(2～31 d),平均随访6.1个月(1～12个月),无胃食管反流复发。1例术中因开始经验和技术不足中转开腹。结论 腹腔镜Nissen’s胃底折叠术是治疗小儿胃食管反流性疾病有效的微创手术。具有术后疼痛轻、恢复快、并发症少等优点。
Objective To introduce laparoscopic Nissen’s fundoplication for the treatment of gastroesophageal reflux disease in children. Methods: From October 2001 to February 2003, Shanghai Children’s Medical Center laparoscopic laparoscopic Nissen’s fundoplication was performed in 50 children with gastroesophageal reflux disease from July 2001 to February 2003 at Children’s Hospital of Chicago University. Children aged 1 month to 17 years (mean age 3.7 years). Results Nissen’s operation was completed in 49 cases under the microscope. The average operation time was 93.8 minutes (57-211 minutes). The mean postoperative hospital stay was 4.5 d (ranged from 2 to 31 days) after a mean of 1.3 days of treatment (ranged from 1 to 4 days). Patients were followed up for 6.1 months (range, 1 to 12 months) without recurrence of gastroesophageal reflux disease. One case of surgery because of the start of the experience and lack of technology to open laparotomy. Conclusion Laparoscopic Nissen’s fundoplication is an effective minimally invasive surgery for children with gastroesophageal reflux disease. With postoperative pain, rapid recovery, fewer complications and so on.