脐部“Z”形切口在小儿腹腔镜手术中的应用

The Effect of Intraumbilical "Z" Incision in Children's Laparoscopic Operation

目的总结脐部"Z"形切口在小儿腹腔镜手术中的作用。方法回顾性分析16例自脐"Z"形切口置单孔腹腔镜逆行切除阑尾和6例两孔法腹腔镜经脐孔"Z"形切口切除美克尔憩室病例资料。结果 11例行单孔法腹腔镜逆行阑尾切除术获得成功,5例术后脐部感染。美克尔憩室6例均顺利完成经脐"Z"形切口腹腔镜辅助手术,无中转开腹手术。结论经脐"Z"形切口腹腔镜辅助手术安全可行,具有微创化、创伤小、痛苦少、康复快、隐蔽性及美容效果好等特点,值得临床进一步推广应用。

Objective To summarize the effect of intraumbilical ＂Z＂ incision in children＇s laparoscopic operation. Methods Retrospective analysis of the Meckel＇s diverticulum was performed resection through the intraumbilical ＂Z＂ incision under a laparoscope in 6 children, and through the intraumbilical ＂Z＂ incision finished laparoscopic retrograde appendectomy in 16 children, from June to August in 2010. Results 11 cases（appendectomy） were operated successfully, 3 cases were converted to two-pots, 1 case was converted to laparotomy, 5 cases had postoperative umbilical infection. 6 cases（Meckel＇s diverticulum） were completed successfully without conversion to open surgery, 1 case had postoperative umbilical infection. Conclusion The laparoscopy-assisted openration through the intraumbilical ＂Z＂ incision is safe and feasible for children, with the characteristics of less wound, less pain, faster rescovery and good concealment and cosmetic result.