临床小儿外科杂志2013，Vol.12Issue(1)：47-49,52,4.DOI:10.3969/j.issn.1671-6353.2013.01.014
腹腔镜手术治疗先天性无肛并直肠尿道瘘15例
Laparoscopic operation for the treatment of congenital imperforate anus and rectum of urethral fistula.
陈快 1黄金狮 1陶俊峰 1樊伟 1刘智文 1徐美汉 1刘玉 1陶强1
作者信息
- 1. 江西省儿童医院新生儿外科,江西省南昌市,330006
- 折叠
摘要
Abstract
Objetive To discuss the feasibility of laparoscopically assisled anoreclal pull - ihrough in the Irealmenl of imperforale anus wilh a reclourelhral fislula. Methods Laparoscopic sharp disseclion and caulery were used to expose the reclal pouch down to the urelhral fislula, which was divided and ligaled. By e-leclrical slimulalion instrument, separate the center of pelvic floor muscle to form the tunnel where the rectum which was exteriorized to the perineum was through by. And then anorectal anastomosis was performed. Results 15 cases were completed anal forming technique assisted by laparoscopic. The mean time for the laparoscopic dissection was ( 108 ±16) minutes. The mean blood loss of the operation was 5 ml and blood transfusion was unnecessary, leases of the postoperatives with urethral fistula, the others remove catheter in 7 ~ 10 d, recovered uneventfully in the sixth to fifteenth day. They were followed up for 3 to 22 months, according to kelly score and Measuring pressure of the rectal. Anal function excellent in 9 cases, good in 6 cases. Conclusions Laparoscopically assisted anorectal pull-through is aneffective technique for the treatment of high imperforate anus. Short-term experience has show n that this approach offers excellent visualization of the rectal fistula, accurate placement of the bowel through the anatomic midline and minimally invasiveness to the abdominal wall and pelvic floor. For bladder neck fistula and the prostatic urethra fistula, the operation is convenient, but the bulbourethral fistula revealed more difficult.关键词
腹腔镜检查/肛门闭锁/外科学/直肠瘘/外科学Key words
Laparoscopy/ Anus Imperforate/SU/ Rectal Fistula/SU引用本文复制引用
陈快,黄金狮,陶俊峰,樊伟,刘智文,徐美汉,刘玉,陶强..腹腔镜手术治疗先天性无肛并直肠尿道瘘15例[J].临床小儿外科杂志,2013,12(1):47-49,52,4.
