两孔法腹腔镜下幽门环肌切开术270例

Two-port laparoscopic pyloromyotomy for congenital hypertrophic pyloric stenosis (report of 270 cases)

目的探讨两孔法腹腔镜治疗先天性肥厚性幽门狭窄(CHPS)的临床价值。方法回顾性分析本院采用两孔法腹腔镜治疗的270例CHPS患儿的临床资料,对其并发症及再手术原因进行总结。结果270例中,2例改用三孔法完成手术,3例中转开腹手术,其余265例均经两孔法完成手术。全部病例术后呕吐情况明显减少,两孔法手术的患儿住院时间缩短。结论两孔法腹腔镜下幽门环肌切开术是治疗先天性肥厚性幽门狭窄的一种行之有效的微创手术方法,可临床推广应用。

Objective To explore the clinical application of two-port laparoscopy in the treatment of congenital hypertrophic pyloric stenosis （CHPS）. Methods 270 children with CHPS underwent two-port laparoseope pyloromyotomy. The clinical date including complications and reasons of reoperation was analyzed retrospectively. Results There were 2 patients convert to 3-port laparoscope pyloromyotomy and 3 patients convert to open surgery. The remained 265 cases underwent two-port laparoscope pyloromyotomy uneventfully. The postoperative vomiting was decreased and the patient＇s hospitalization time was shortened. Conclusions Two-port laparoscopic pyloromyotomy is an effective method in the treatment of congenital hypertrophic pyloric stenosis in children.