腹腔镜治疗小儿肠粘连26例报告

Laparoscopic lysis for intestinal adhesion in chidren: with a report of 26 cases

目的:探讨腹腔镜治疗小儿术后粘连性肠梗阻的可行性和适应证。方法:回顾分析1994年至2004年8月因粘连性肠梗阻行腹腔镜下肠粘连松解术26例的临床资料。结果:24例手术成功,2例中转开腹,无术后并发症,随访未见复发。结论:腹腔镜肠粘连松解术切口小、腹膜创面小,腹腔干扰少,能较大限度地减少术后腹腔内再粘连,为粘连性肠梗阻的外科治疗提供了一种新方法,不仅在成人,在小儿肠粘连中也可应用。

Objective:To explore the feasibility and indication of treating intestinal adhesion with laparoscopy in children. Methods: From 1994 to Augest 2004, the clinic data of 26 cases that were diagnosed as intestinal obstruction and underwent laparoscopic lysis for intestinal adhesion were retrospectively analyzed. Results: 24 cases were cured with satisfaction, 2 cases were converted to open procedures, no complication and recrudescence occured found. Conclusions: Laparoscopic lysis for intestinal adhesion is a new method with such merit as less injury, less disturbance and less recrudescence . It is an effective treatment applied not only in adult but also in children for intestinal adhesion.