运用腹腔镜技术治疗小儿先天性巨结肠症

LAPAROSCOPIC TECHNIQUE FOR TREATMENT OF MEGACOLO

目的 :描述腹腔镜技术辅助下 ,根治性切除小儿先天性巨结肠疾病的手术方式 ,并评价其临床疗效。方法 :运用腹腔镜技术游离腹腔内病变结肠 ,结合拖出式直扬肛管背侧纵切 ,心形斜吻合技术 ,根治性切除 13例小儿先天性巨结肠症。结果 :13例患儿均在腹腔镜辅助下顺利地完成了先天性巨结肠根治术 ,无手术死亡及手术并发症 ;术后恢复快 ,住院时间短 ;随访 2～ 10月 ,无并发症 ,排便基本正常。结论 :腹腔镜辅助的小儿先天性巨结肠根治术 ,具有创伤小、恢复快。

Objective:To evaluate the radical operative measurments for congenital megacolon with laparoscope-assisted technique.Methods:The pathological colon was mobilized laparoscopically,combined,with vertical cut on the back of pull-through rectum-anus,and the oblique heart-shaped anastomosis.Radical operation on 13 little children with Hirschsprung's disease were performed.All patients were followed up for a short time.Results:All children were successfully treated by laparoscopic-assisted pull-through operation with no operative death and complications,a quicker postoperative recovery,and a shorter in-patient days.For 2～10 months of following-up,there were no colitis,no anastomotic stricture,and a normal excretoryConclusions:The radical operation for children Hirschsprung's disease with laparoscope-assisted pull-through performance,has characteristics of smaller trauma to peritoneal cavity,quicker recovery and better effects.It has a good prospect of clinical application.