两孔法腹腔镜在小肠重复畸形诊断和治疗中的应用(附9例报告)

Two-trocar laparoscope in the diagnosis and treatment of intestinal duplication

目的 探讨腹腔镜下诊断和治疗小肠重复畸形。 方法 对 9例术前疑肠重复畸形患儿经二孔法腹腔镜腹腔探查 ,确诊后经脐部 10mmTrocar切口 ,提出肠管 ,在腹腔外行重复畸形肠段切除 ,肠端端吻合术。 结果 9例患儿均无中转开腹手术 ,手术时间 30min～ 110min ,平均 80min。术后 4d～5d出院。无任何并发症发生。 结论 二孔腹腔镜对是诊断和治疗小肠重复畸形的一种行之有效的方法。

Objective To explore the diagnosis and treatment of intestinal duplication by means of laparoscope. Methods 9 cases suspected intestinal duplication before operation underwent intraperitoneal exploration through two-trocar laparoscope. Patients diagnosed as intestinal duplication were performed by enterectomy and end-to-end intestinal anastomosis outside abdominal cavity through a 10mm trocar. Results All cases were operated on under lapascope with a mean operative time of 80min(30min～110min).The postoperative hospital stay was 4d～5d . No complications occurred. Conclusions Two-trocar laparoscope is an effective method to diagnose and treat intestinal duplication.