摘要
目的：总结腹腔镜Soave改良根治术治疗新生儿及小婴儿先天性巨结肠症的临床经验。方法：为患儿施行腹腔镜Soave改良巨结肠根活术。结果：全组无中转开腹病例，平均手术时间125min。患儿均在术后第1天开始喂水，术后应用抗生素2-5d，平均3d。输液3-5d，平均4d，腹部小戳孔，愈合好，无感染，术后6-10d出院，平均7d。近期随访效果良好。结论：腹腔镜手术后患儿进食早，输液及抗生素应用时间短，住院时间短，创伤小，康复快，腹部疤痕小，外观美观，与开腹手术相比有一定的优越性，新生儿及小婴儿同样适用。
Objective：To summarize the clinical experience of laparoscopic Soave pull-through procedure for congenital Megacolon in newborns and small infants. Methods： Laparoscopic Soave pull-through procedures were performed in 37 newborns and small infants with congenital Megacolon, Results：No conversion to laparotomy occurred. The average operation time was 125 minutes, All the cases were feeded water in the first day after operation;antibiotics were used within 2-5 days （average 3 days） ;Intravenous fluid was given for 3-5 days（ average 4 days）, Hospitalization time after operation was 6410 days（ average 7 days）. The small abdominal incisions recovered better, Good effect was found by short period follow-up, Conclusions： Laparoscopy has more superiority than open operation, such as earlier foodintake, shorter time of intravenous fluid, antibiotics and hospitalization, smaller trauma, faster recovery, et al. It is suitable to both newborns and infants.
出处
《腹腔镜外科杂志》
2007年第2期132-133,共2页
Journal of Laparoscopic Surgery
关键词
巨结肠
先天性
婴儿
腹腔镜术
Megacolon, congenital
Infant
Laparoscopy
