腹腔镜下巨结肠根治术治疗小儿先天性巨结肠的疗效

目的 分析腹腔镜辅助下巨结肠根治术治疗小儿先天性巨结肠的临床疗效.方法 收集2012年7月至2016年6月安徽医科大学附属省立医院收治的14例先天性巨结肠患儿的临床资料,回顾分析腹腔镜下巨结肠根治术治疗小儿先天性巨结肠的临床疗效.结果 14例先天性巨结肠患儿中,13例全腹腔镜下完成手术,1例中转开腹病例,术后平均住院(8.13±1.32)d,无腹腔镜操作相关的近期并发症,远期随访无污粪和便秘复发.结论 腹腔镜辅助下巨结肠根治术治疗先天性巨结肠安全有效,具有微创效果,值得推广.

Laparoscopic-assisted procedures for Hirschsprung's disease

Objective To summarize the experiences of laparoscopic-assisted procedures for Hirschsprung's disease in children. Methods From July 2012 to June 2016,14 cases with Hirschsprung's disease were performed with laparoscopic-assisted procedures in the Affiliated Provincial Hospital of Anhui Mediacal University. The clinical effect of laparoscopic radical operation for Hirschsprung's disease was retrospectively analysed. Results 13 cases had successfully operations without conversion to laparotomy, and1 case converted to laparotomy.The mean postoperative hospital stay was 8 d.There were no recent complications associated with laparoscopic procdure and no stool incontinence or recurrent constipation after long-term follow-up. Conclusion Laparoscopic-assisted procedure is safe and effective for treating Hirschsprung's disease with minimally invasive surgery features, whichshould be advocated in clinic.