摘要
目的探讨腹腔镜在儿童小肠重复畸形诊治中的应用价值。方法2002年6月~2007年5月,采用腹腔镜治疗小肠重复畸形15例,年龄27天~10岁。均行腹腔镜探查,发现病变从脐孔或扩大右下腹戳孔提出,在腹腔外完成切除吻合。结果所有病例成功手术,无严重并发症。其中端-端吻合12例,单纯囊肿切除2例,囊壁黏膜切除1例。同时行阑尾切除2例及腹股沟斜疝环扎术1例。术后随访3~18个月,平均12个月。无腹胀、呕吐等肠粘连表现,无再出血及切口疝。结论腹腔镜的应用为儿童小肠重复畸形的诊断和治疗提供了一条极好的途径,在掌握适应证及禁忌证的前提下,疾病的诊断率高,并发症少。
Objective To evaluate the clinical value of laparoscopy in the diagnosis and treatment of intestinal duplication for children. Methods From June 2002 to May 2007, 15 children (aged 27 days to 10 years) with intestinal duplication were treated by laparoscopy in our hospital. The lesions were explored by laparoscopy, and then pulled out through the umbilical hole or the trocar hole at the right lower abdomen. The anastomosis was performed outside the abdominal cavity. Results The operation was successfully ac...
出处
《中国微创外科杂志》
CSCD
2008年第2期156-157,共2页
Chinese Journal of Minimally Invasive Surgery
关键词
腹腔镜
肠重复畸形
Laparoscopy
Intestinal duplication