腹腔镜先天性巨结肠根治术(附12例报告)

Laparoscopy in radical operation on congenital megacolon:with a report of 12 cases

目的:探讨腹腔镜下行先天性巨结肠根治术的临床价值。方法:行电视腹腔镜先天性巨结肠根治术12例。结果:12例均获成功,无中转开腹。术后1～2d胃肠功能恢复,术后平均6～8d出院。无吻合口漏、术后大出血、腹膜炎病例,随访疗效满意。结论:腹腔镜先天性巨结肠根治术,术野开阔清晰、损伤小、胃肠干扰小、术后恢复快;关键是肠系膜的处理,该术式的长远效果有待进一步观察。

Objective: To study the clinical value of Laparoscopy in radical operation on congenital megacolon. Method : 12 cases with congenital megacolon were performed radical operation under laparosco-py Result: All were succeeded done. Postoperatively, the patients recovered their gastrointestinal function in l-2days and were out hospital after 6-8 days. No cases had anastomotic leakage, large amount of bleeding and peritonitis. Conclusion:Under Laparoscopy,the visual field of operation is wide and clear,the damage is little, and the patients recover fast. In the operation,mesentery should be treated well.