腹腔镜外科杂志2013，Vol.18Issue(3)：177-182,6.
腹腔镜辅助Soave根治术治疗小儿先天性巨结肠的手术并发症及防治措施
Complications and their prevention and treatment of laparoscopic-assisted Soave radical operation in the treatment of congenital megacolon in child
摘要
Abstract
Objective: To investigate the complications and their prevention and treatment of laparoscopic-assisted Soave radical operation in the treatment of congenital megacolon in child. Methods:The clinical data of 625 children ( male;506,female; 119) who suffered from congenital megacolon and underwent laparoscopic-assisted Soave radical operation were retrospectively analyzed. Their mean age was (41. 13 ±4.85) months (range 9 d to 8 years and 3 months) ,their mean body weight was (8. 34 ±0. 86) kg (range 2. 3-23.4 kg). There were 334 cases of common type,216 cases of long type, and 75 cases of total colonic type. Results: All the 625 operations were successful,the mean operative time was (102.76 ± 16.43) min (range70-210 min).The mean blood loss was (4.58 ± 0. 62) ml ( range 3-10 ml). The frequency of defecation shortly after the operation was 4-15 times per day, defecation was almost normal 6-12 months later,and its frequency was 2-5 times per day. Postoperative complications included 56 cases (8. 96% ) of enterocolitis,98 cases (15. 68%) of perianal dermatitis, 35 cases (5. 6%) of excrement,4 cases (0. 64%) of recurrent constipation, 3 cases (0. 48% ) of anastomotic fistula and colon retraction,4 cases (0. 64% ) of sigmoid volvulus,8 cases ( 1. 28% ) of anal stenosis and 5 cases (0.8%) of anastomotic bleeding. Conclusions: Laparoscopic-assisted Soave radical operation in the treatment of congenital megacolon in child is mini-invasive,easy,safe,effective and has better cosmetic result. There are still some complications,especially the long type and total colonic type. Preoperative diagnosis, intraoperative and postoperative standardized processing can reduce the postoperative complications.关键词
Hirschsprung病/Soave根治术/腹腔镜检查/儿童/手术后并发症/防治Key words
Hirschsprung disease/Soave radical operation/Laparoscopy/Child/Postoperative complications/Control分类
医药卫生引用本文复制引用
石群峰,李新宁..腹腔镜辅助Soave根治术治疗小儿先天性巨结肠的手术并发症及防治措施[J].腹腔镜外科杂志,2013,18(3):177-182,6.基金项目
广西壮族自治区科学技术厅广西科学基金项目(编号:桂科自0991181) （编号:桂科自0991181）
