腹腔镜幽门环肌切开术治疗小儿先天性肥厚性幽门狭窄79例

Laparoscopic Pyloromyotomy for Congenital Hypertrophic Pyloric Stenosis: A Report of 79 Cases

目的：总结腹腔镜幽门环肌切开术治疗小儿先天性肥厚性幽门狭窄的经验及并发症的防治。方法：回顾分析2007年7月至2012年12月于我院行腹腔镜幽门环肌切开术治疗小儿先天性肥厚性幽门狭窄79例患者的临床资料。其中男66例,女13例,年龄10~110 d,平均37 d,体重2.4~6.8 kg,平均3.3 kg。结果：78例顺利完成腹腔镜手术,1例因为幽门黏膜损伤中转为开腹手术,腹腔镜幽门环肌切开术手术时间（15.21±0.56）min。所有患者均随防至2013年6月,无复发,无生长发育迟滞,无肠粘连、肠梗阻等远期并发症发生。结论：应用腹腔镜幽门环肌切开术治疗小儿先天性肥厚性幽门狭窄具有创伤小、恢复快、并发症少等优点。

Objective： To summarize the experiences of congenital hypertrophic pyloric stenosis treated by laparoscopic pyloromyotomy and to provide control methods of postoperative complications. Methods： A retrospective analysis of the clinical data of 79 patients with congenital hypertrophic pyloric stenosis underwent laparoscopic pyloromyotomy from Jul 2007 to Dec 2012 in our hospital was done. Of which,there were 66 males and 13 females,aged 10-110 d（ average 37 d）,weighing 2. 4-6. 8 kg（ average 3. 3kg）. Results： There were 78 patients successfully received laparoscopic pyloromyotomy. Only 1 patient received open surgery because of pyloric mucosal damage. Operative time of laparoscopic pyloromyotomy was（ 15. 21 ± 0. 56） min. All patients were followed up until Jun 2013,there were no recurrence,no growth retardation,no occurence of adhesions,bowel obstruction and other longterm complications. Conclusion： Laparoscopy pyloromyotomy for the treatment of congenital hypertrophic pyloric stenosis has the advantage of less trauma,quicker recovery,fewer complications.