3D腹腔镜技术治疗婴幼儿先天性巨结肠的可行性研究

Three-dimensional laparoscopy for infant's Hirschprung's disease

目的探讨3D腹腔镜技术在婴幼儿先天性巨结肠治疗中的可行性。方法选取2015年7月-2017年3月郑州大学第三附属医院住院期间经造影及直肠黏膜活检诊断为先天性巨结肠的患儿13例,采用3D腹腔镜技术进行治疗。结果 13例手术均获得成功,无中转开腹手术。术后腹胀消失,无排便困难、无吻合口瘘,术后2周常规扩肛。随访6~24个月复查无腹胀、大便失禁和肛门狭窄等并发症发生。结论 3D腹腔镜技术具有高清、三维立体的优点,运用治疗婴幼儿先天性巨结肠是安全可行的。

Objective To explore the feasibility of three-dimensional(3D)laparoscopic technique in treating Hirschsprung’s disease in infants.Methods 13 cases of Hirschsprung’s infants diagnosed by lower gastrointestinal radiography and rectal mucosa biopsy in the third affiliated hospital of zhengzhou university during the period from July 2015 to March 2017 were collected.All of them were treated by laparoscopic 3D technique.Results The 13 case of surgeries were all accomplished successfully,and no case was transferred to laparotomy.After operation,the symptom of abdominal distention disappeared,no difficult defecation,no anastomotic fistula.And routine anal dilatation 2 weeks after operation of anal.Follow-up for 6 to 24 months,there was no abdominal distension,fecal incontinence,anal stenosis and other complications.Conclusions 3D laparoscopic technique has the advantages of high resolution and three-dimensional,which is safe and feasible for the treatment of infant’s Hirschprung’s disease.