完全腹腔镜下行小儿梅克尔憩室切除术的效果观察

Effect observation of pediatric Meckel′s diverticulum resection by complete laparoscopic technique

目的探讨完全腹腔镜技术治疗小儿梅克尔憩室的临床效果及安全性。方法回顾性分析完全腹腔镜技术下行小儿梅克尔憩室切除术的28例患者的临床资料,术前经腹部胃肠超声、99m Tc同位素检查明确诊断21例,术中明确诊断7例。结果28例患者均在完全腹腔镜下完成肠切除肠吻合术,无中转开腹。手术时间60~140(85±35)min。所有患者术后第5天进行流质饮食,术后6~8 d出院,无并发症发生;术后随访2~29(10±8)个月,无吻合口狭窄、肠瘘、粘连性肠梗阻等并发症发生。结论运用完全腹腔镜技术行小儿梅克尔憩室切除术具有微创、恢复快、并发症少、瘢痕小等优点,安全可行。

Objective To investigate the clinical effect and safety of pediatric Meckel′s diverticulum resection by complete laparoscopic technique.Methods The clinical data of 28 patients underwent pediatric Meckel′s diverticulum resection by complete laparoscopic technique were retrospectively analyzed.Of them,21 cases were definitely diagnosed by preoperative transabdominal gastrointestinal ultrasonic detection and 99m Tc isotope examination,the rest 7 cases were definitely diagnosed during operation.Results All 28 patients successfully underwent intestinal resection and anastomosis by complete laparoscope without conversion to the open surgery during operation.The operation duration was 60 minutes to 140 minutes,with the average of(85±35)minutes.All patients underwent a fluid diet on the 5th day after operation,and were discharged from hospital 6 to 8 days after operation,without complications.The patients were followed up for 2 to 29(10±8)months without complications like anastomotic stenosis,intestinal fistula,or adhesive intestinal obstruction,etc.Conclusion It is of safety and feasibility to conduct pediatric Meckel′s diverticulum resection by complete laparoscopic technique,which has the advantages of minimally invasive,fast recovery,less complications,and small scars,etc.