临床小儿外科杂志2013，Vol.12Issue(1)：53-54,57,3.DOI:10.3969/j.issn.1671-6353.2013.01.016
儿童腹腔镜下巨结肠根治、结直肠钉合吻合术的应用
laparoscopy-assisted modified Proctocolectomy with Stapled colorectal anastomosis for juvenile Hirschsprung's disease.
李水学 1周玲 1李和军 1阿不都赛米 1阿孜古丽1
作者信息
- 1. 新疆自治区人民医院小儿外科,新疆乌鲁木齐市,830000
- 折叠
摘要
Abstract
Objetive To evaluate the curative effect of laparoscopy - assisted modified Proctocolectomy with Stapled colorectal anastomosis for juvenile Hirschsprung' s disease. Mehods Between february 2010 to February 2012 , 10 children , aged 4 to 10, with congenital megacolon were treated by the method of Laparoscopy-assisted dissection and pulling the part of pathogenic colon out of anus, cutting and performing the Stapled colorectal anastomosis , duration of procedure, post-operative bleeding amount, duration of hospital stay, defecation behavior during hospital stay, short term complications were analiysed . Resuls 12 cases has undergone the Laparoscopy-assisted modified Swenson proctectomy and Stapled colorectal anastomosis successfully, The mean duration of operation was 90 ~ 120 minutes; amount of bleeding was 3 ~5 mL; no intraoperative complications and surgical wound infection; anal pain when defecation occurred in 2 cases; Anastomotic fistula occurred in 2 cases, Fistula in 1 case were healed by conservative treatments by 1 month, 1 case were treated with transverse colonic fistulization And after 4 month , the case was given to the operation of longitudinal incision and transverse suture and anal dilation after the procedure because of anastomotic stenosis, and fully recovered; enteritis occurred in 1 case, were cured by symptomatic treatment ; 7 cases were followed-up, and no fecal incontinence and constipation occurred as yet, defection frequency was 1 ~ 3 times/day; all cases urinated normally. Conclusion The Laparoscopy-assisted modified Swenson proctectomy and Stapled colorectal anastomosis is feasible, has the advantages of short duration of hospital stay , less bleeding , minimal trauma, quick recovery and satisfactory short term outcome; this procedure fits young children, Not for babies.关键词
Hirschsprung病/结直肠外科手术/腹腔镜检查/婴儿Key words
Hirschsprungs disease/ Colorectal Surgery/ Laparoscopy/ Infant引用本文复制引用
李水学,周玲,李和军,阿不都赛米,阿孜古丽..儿童腹腔镜下巨结肠根治、结直肠钉合吻合术的应用[J].临床小儿外科杂志,2013,12(1):53-54,57,3.
