论文部分内容阅读
目的 介绍腹腔镜辅助下改良Soave′s术治疗儿童先天性巨结肠。 方法 2 0 0 0年 7月～ 2 0 0 1年 7月 ,应用腹腔镜为 10例儿童先天性巨结肠作改良Soave′s术。患儿年龄 2个月至 10岁 ,体重 3.7～ 39kg。 结果 8例经腹腔镜顺利完成手术 ,术中出血少、愈合后疤痕不明显。术后 4天进食 ,7例 7天出院 ,1例 12天出院。 7例术后自解大便 ,无吻合口狭窄 ,1例仍有便秘 ,扩肛中。另 2例分别因肥胖和病变段过长手术失败而中转开腹。 结论 腹腔镜可完成儿童巨结肠根治术的腹腔部分操作 ,创伤小、恢复快、疤痕不明显。但有一定适应证。
Objective To introduce laparoscopic modified Soave’s surgery for the treatment of Hirschsprung’s disease in children. Methods From July 2000 to July 2001, laparoscopy was performed in 10 children with Hirschsprung’s disease to improve Soave’s technique. Children aged 2 months to 10 years old, weighing 3.7 ~ 39kg. Results 8 cases completed laparoscopic operation, less bleeding, scarring was not obvious after healing. Four days after the meal, seven patients were discharged in seven days and one patient was discharged in 12 days. Seven cases of postoperative self-solution stool, no anastomotic stenosis, 1 case still constipation, anal expansion. The other two cases were converted to laparotomy because of obesity and long pathological section failed surgery. Conclusion Laparoscopy can complete the operation of celiotomy in children with radical gastrectomy, which is less traumatic and quicker to recover. The scar is not obvious. But there is a certain indication.