腹腔镜治疗新生儿环状胰腺六例体会

Laparoscopic treatment for annular pancreas in neonates： report of 6 cases

目的探讨应用腹腔镜诊断和治疗新生儿环状胰腺的临床应用价值。方法回顾性分析本研究组2009年9月至2012年6月应用腹腔镜诊断和治疗新生儿环状胰腺6例的临床资料。本组均腹腔镜下明确诊断后，在腹腔镜下完成十二指肠菱形吻合术。结果手术时间为80～140min，平均105min。腹腔镜术后4～7d，平均5d进流质饮食；8～14d，平均10d出院。现术后随访4～20个月，平均6．8个月，患儿疗效满意，症状消失，营养状态及生长发育良好。结论新生儿环状胰腺可通过腹腔镜明确诊断并确定术式，具有切口小、创伤轻、恢复快等特点，可在新生儿期安全实施。

To report our preliminary experience of laparoscopic treatment for annu lar pancreas in neonates and to emphasize the advantages and feasibility of this procedure. Methods A retrospective review of laparoseope-assisted method for annular pancreas in 6 children from September 2009 to June 2012 was performed. Annular pancreas was diagnosed and treated with duodenal dia- mond-shaped anastomosis in laparoscopy. Results The operative time was 80-140 min （mean 105 min）. Feedings were started on postoperative day 4 to 7（mean 5 d） and patients were discharged from the hospital on postoperative day 8 to 14（mean 10 d）. The cases were followed-up for 4-20 months （mean 6. 8 months）. No preoperative symptoms recurred and symptoms were alleviated with normal GI function. Conclusions Laparoscope-assisted diagnosis and treatment for annular pancreas can be se- curely performed in neonatal period and has the advantages of small incision, minimal invasion and bet- ter recovery.