电视腹腔镜先天性巨结肠根治术

Laparoscopic swenson pull-through for Hirschsprung's disease

目的:总结电视腹腔镜根治先天性巨结肠的经验,并与开腹手术比较其优越性。方法:用电视腹腔镜辅助行先天性巨结肠根治术(Swenson改良术)6例,平均年龄1岁,均为气管内插管,用电视腹腔镜完成腹腔内病变肠管切除的全部操作,将切除病变肠管经直肠内拉出至直肠外,经会阴部完成结肠管与直肠吻合术。结果:平均手术时间2.5～3h,平均出血量10ml,术后肠蠕动恢复快,本组病例最早12h恢复肠蠕动,术后平均住院8.5d,均痊愈出院。结论:由电视腹腔镜行先天性巨结肠根治术效果好,安全可靠。

Objective:To summarize the experience of laparoscope in treating Hirschsprung's disease and to compare the standard open swenson pull - through (OSP) with the laparoscopic swenson pull - through ( LSP) for Hirschsprung ' s disease . Method : The laparoscopic swenson pull - through ( LSP ) was performed on six patients with average age of 1 year . The coloproctosomy was completed through perineum . Result: The average duration of operation was 2.5 -3h and the average bleeding was 10ml. Postoperatively, the peristalsis come back very soon and the patients were all cured. Conclusion: The swenson pull - through can be performed safely with the laparoscopy with reduced morbidity.