| 腹腔镜辅助下改良Swenson治疗婴幼儿巨结肠 |
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| 引用本文： | 吴鸿根,黄顺荣,邓洪强,周明,吴东波,潘云. 腹腔镜辅助下改良Swenson治疗婴幼儿巨结肠[J]. 中国微创外科杂志, 2008, 8(3): 230-231 |
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| 作者姓名： | 吴鸿根 黄顺荣 邓洪强 周明 吴东波 潘云 |
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| 作者单位： | 广西壮族自治区人民医院外科 广西壮族自治区人民医院外科 南宁 |
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| 摘 要： | 目的探讨腹腔镜辅助下改良Swenson治疗婴幼儿巨结肠的可行性和有效性。方法应用腹腔镜辅助下改良Swenson法治疗婴幼儿先天性巨结肠13例,采用三孔或四孔腹腔镜法,设定CO2压力为8~10mmHg,取结肠浆肌层组织做病理诊断,Ligasure离断直肠及乙状结肠系膜,远端分离至齿状线上0.5~1.0cm,将病变狭窄段、移行段扩张肠管经直肠肛门内翻拖出切除,结肠直肠全层前高后低心形斜吻合,3例采用强生直径21mm吻合器。结果13例均在腹腔镜下顺利完成手术,手术时间85~161min,平均115min。出血量<12ml。均无术中并发症。术后3例小肠结肠炎,1例污粪,1例吻合口漏,经治疗后治愈。13例随访6~42个月,平均26个月,排便正常,无并发症发生。结论腹腔镜辅助下改良Swenson治疗婴幼儿巨结肠可行、有效。
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| 关 键 词： | 先天性巨结肠 婴幼儿 腹腔镜辅助手术 |
| 文章编号： | 1009-6604(2008)03-0230-02 |
| 修稿时间： | 2007-05-31 |
Clinical Analysis of Laparoscopic-assisted Modified Swenson''''s Operation for Hirschsprung''''s Disease in Infants |
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| Affiliation: | Wu Honggen; Huang Shunrong; Deng Hongqiang; et al. Department of Surgery; People’s Hospital of Guangxi Zhuang Autonomous Region; Nanning 530021; China; |
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| Abstract: | Objective To evaluate the feasibility and effectiveness of laparoscopic-assisted modified Swenson’s operation for Hirschsprung’s disease in infants. Methods A total of 13 infants with Hirschsprung’s disease including 11 males and 2 females were treated by laparoscopic-assisted modified Swenson’s surgery. Three- or four-trocar technique was used under a CO2 pressure of 8-10 mm Hg. The seromuscular layer of the colon was obtained for pathological examination. The mesenteries of the sigmoid colon and rectum we... |
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| Keywords: | Hirschsprung’s disease Infant Laparoscopic-assisted surgery |
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