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目的总结腹腔镜幽门环肌切开治疗小儿先天性肥厚性幽门狭窄及并发症的防治。方法回顾2007年7月至2013年12月于我院行腹腔镜幽门环肌切开松解术治疗小儿先天性肥厚性幽门狭窄145例,总结手术操作技术要点及并发症的防治。结果 144例顺利完成腹腔镜手术,1例因为幽门黏膜损伤中转为开腹手术,随访至今无复发、呕吐及肠粘连、肠梗阻等并发症发生。结论熟练的腹腔镜操作技术、专用的幽门狭窄手术器械、丰富的开腹手术经验、经验丰富的麻醉团队是避免术中及术后手术并发症、顺利完成手术的基础。
Objective To summarize the prevention and treatment of congenital hypertrophic pyloric stenosis and complications of laparoscopic pyloric ring incision in children. Methods From July 2007 to December 2013 in our hospital laparoscopic pyloric open excision of pyloric 145 cases of congenital hypertrophy in children with pyloric stenosis, summarizes the surgical techniques and complications prevention and treatment. Results Of the 144 cases successfully completed laparoscopic surgery, 1 case of pyloric mucosal injury due to open to open surgery, no recurrence of follow-up, vomiting and intestinal adhesion, intestinal obstruction and other complications occurred. Conclusions Skilled laparoscopic operation technique, dedicated pyloric stenosis surgical instruments, rich experience of laparotomy and experienced anesthesia team are the basis for avoiding the intraoperative and postoperative complications and successfully completing the operation.