腹腔镜诊断和治疗小儿麦克尔憩室(附16例报告)

Laparoscopy in the diagnosis and treatment of Meckel's diverticulum in children:Report of 16 cases

目的 探讨腹腔镜在小儿麦克尔憩室诊断和治疗中的应用。 方法 1999年 6月～ 2 0 0 3年 2月应用腹腔镜诊治小儿麦克尔憩室 16例。腹腔镜下找到病变部位后 ,自脐部切口提出 ,憩室楔形切除或肠切除对端吻合。 结果 手术时间75～ 15 0min ,平均 92min。术后第 3天进食。无术后并发症发生。术后住院 5～ 7d ,平均 5 8d。随访 16例 ,时间 4～ 4 4个月 ,平均 19 4个月 ,无肠粘连发生。 结论 腹腔镜诊治疗麦克尔憩室安全有效。

Objective To explore the utilization of laparoscopy in the diagnosis and treatment of Meckel’s diverticulum in children. Methods A total of 16 children with Meckel’s diverticulum underwent laparoscopic procedures between June 1999 and February 2003. With the help of celioscopy, the focus of the intestines is detected and pulled out through the umbilical port. The wedge resection of diverticulum or enterectomy with anastomosis was then performed. Results The operative time was 75 ～ 150 min, with a mean of 92 min. The patients began to take food on the third postoperative day. No operative complications occurred. The postoperative hospital stay was 5～7 d, with a mean of 5.8 d. Follow-up for 4～44 months (mean, 19.4 months) in the 16 patients showed no intestinal adhesion. Conclusions Laparoscopy is safe and effective in the diagnosis and treatment of Meckel’s diverticulum.