先天性巨结肠症腹腔镜Soave改良根治术的体会

目的:总结腹腔镜Soave改良根治术治疗新生儿及小婴儿先天性巨结肠症的临床经验。方法:为患儿施行腹腔镜Soave改良巨结肠根治术。结果:全组无中转开腹病例,平均手术时间125m in。患儿均在术后第1天开始喂水,术后应用抗生素2~5d,平均3d。输液3~5d,平均4d,腹部小戳孔,愈合好,无感染,术后6~10d出院,平均7d。近期随访效果良好。结论:腹腔镜手术后患儿进食早,输液及抗生素应用时间短,住院时间短,创伤小,康复快,腹部疤痕小,外观美观,与开腹手术相比有一定的优越性,新生儿及小婴儿同样适用。

The experience of laparoscopic Soave pull-through procedure for congenital Megacolon

Objective:To summarize the clinical experience of laparoscopic Soave pull-through procedure for congenital Megacolon in newborns and small infants.Methods:Laparoscopic Soave pull-through procedures were performed in 37 newborns and small infants with congenital Megacolon.Results:No conversion to laparotomy occurred.The average operation time was 125 minutes.All the cases were feeded water in the first day after operation;antibiotics were used within 2-5 days(average 3 days);Intravenous fluid was given for 3-5 days(average 4 days).Hospitalization time after operation was 6-10 days(average 7 days).The small abdominal incisions recovered better.Good effect was found by short period follow-up.Conclusions:Laparoscopy has more superiority than open operation,such as earlier foodintake,shorter time of intravenous fluid,antibiotics and hospitalization,smaller trauma,faster recovery,et al.It is suitable to both newborns and infants.