腹腔镜辅助改良Soave术根治小儿先天性巨结肠

目的总结腹腔镜辅助改良Soave术根治小儿先天性巨结肠的临床经验。方法回顾性分析2007年2月至2011年10月作者收治的42例先天性巨结肠患儿床资料，对操作经验进行总结。结果全部病例均手术成功，无中转开腹病例，平均手术时间150min，术后平均住院时间7d，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。结论腹腔镜辅助改良Soave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 with modified Soave' s procedures for Hirschsprung' s disease

Objective To summarize the experiences of laparoscopic-assisted with modified Soave＇ s procedures for Hirschsprung＇ s disease in children. Methods From February 2007 to October 2011,42 cases with Hirshsprung＇ s disease were performed with laparoseopic-assisted with modified Soave＇ s procedures and the operative experiences were summarized. Results All cases had successfully operations without conversion to laparotomy. The mean duration of the procedure was 150 min and postoperative hospital stay was 7 d. There were no recent complications associated with laparoscopie procedure and no stool incontinence or recurrent con- stipation after long-term follow-up. Conclusions Laparoscopic-assisted with modified Soave＇ s procedure is safe and effect for Hirschsprung＇ s disease with minimally invasive surgery features and should be advocated actively.