腹腔镜辅助改良Soave’S法I期根治小儿先天性巨结肠症的效果观察

目的探讨腹腔镜辅助改良Soave’s法I期根治小儿先天性巨结肠症的手术方式，并评价临床疗效。方法回顾性分析2010年9月至2011年9月行腹腔镜辅助改良Soave’s法I期根治小儿先天性巨结肠11例患儿的临床资料。结果11例患儿中男8例，女3例；年龄4个月至11岁。常见型6例，短段型4例，长段型1例。11例患儿手术时问80～130min，平均（120±10）rain，术中平均出血量为（20±5）ml，肠蠕动恢复平均时间为（24±4）h，愈合后瘢痕不明显，无并发症发生。结论腹腔镜辅助下行小儿先天性巨结肠根治术可行，具有直观、创伤小，在分离盆底直肠方面优于开放手术，具有恢复快、疗效好等优点。

One-stage operation of laparoscopic-assisted modified Soave's method for congenital hirschsprung's disease

Objective To evaluate the clinical efficacy of one-stage operation of laparoscopic-assisted modified Soave＇s method treating hirschsprung＇s disease （HD）, Methods The clinical data of 11 children with hirschsprung disease in the last 2 years was reviewed. Results The surgical procedures of 11 cases were successfully performed by laparoscopy, including 6 cases of common segment, 4 cases of short segment and 1 case of long segment. All operations were completed with laparoscopy in 80-130 min with an aver~/ge （120＋ 10） min. There was very little bleeding during the procedure [ average （20 ＋ 5 ） ml ] and no significant scar. The average hospital stay was 7-8 days. Conclusions The laparoscopic-assisted treatment of hirschsprung＇s disease is feasible with little trauma, quick recovery and good curative effect. The separation of the rectum in pleric floot is superior to open surgery.