微型腹腔镜手术在小儿外科的临床应用

Clinical application of mini-laparoscopic operation in pediatric surgery

目的探讨及推广腹腔镜技术在小儿外科的临床应用。方法对2003年6月至2006年12月间的500例小儿腹腔镜手术进行回顾性分析。结果500例中5例中转开放手术,余均顺利完成手术。术中平均出血2ml（1～5ml）。平均手术时间25min（15～75min）。住院平均时间5d（3～7d）。平均随访21个月（1～40个月）,未见腹内脏器损伤、血管损伤、戳孔疝、戳孔出血、麻醉意外等并发症。结论微型腹腔镜手术具有创伤小、康复快、手术效果好、切口美观、住院时间短等优点,适合小儿腹部外科的大部分疾病,值得推广应用。

Objective：To explore and promote the clinical application of mini-laparoscopy operation in pediatric general surgery.Methods： Mini-aparoscopic operation was performed in 500 children cases from June 2003 to December 2006 and analyzed retrospectively.Results： In 500 cases,5 cases was transferred to open operation.All of cases recoverd uneventfully.An average volume of bleeding was about 2ml（from 1 to 5ml）.The mean surgical time was 25 minutes（from 15 to 45 minutes）.Postoperative stay in hospital was 5 days（from 3 to 7 days）.There were no early or late complications during a mean of 21 months follow-up（ranged from 1 to 40 months）.Conclusion： Mini-laparoscopic operation has the benefits of being less invasive,early resumption of normal activeities,small incision and scars,less complication and shorter hospitalization.Most of the diseases in pediatric surgery can be treated by laparoscopic operation.And it should be promoted and put into effect.