临床小儿外科杂志2018，Vol.17Issue(2)：112-116,5.DOI:10.3969/j.issn.1671-6353.2018.02.007
腹腔镜辅助Swenson-like巨结肠根治术105例
The laparoscopic-assisted Swenson-like surgical approach for 105 cases with Hirschsprung's disease
摘要
Abstract
Objective To sum up the therapeutic benefits,postoperative complications and experience of laparoscopic-assisted Swenson-like approach for Hirschsprung's disease.Methods We retrospectively ana-lyzed our clinical data of 105 Hirschsprung's disease patients who had undergone laparoscopic-assisted Swenson-like approach from March 2010 to March 2016,and assessed postoperative complications and operative tech-niques.Results All patients were successfully treated by laparoscopic-assisted approach without converting to laparotomy.The operation time of the cases averaged 115 ±18min(85~205 min)and the average length of resection was 35 ±15cm(20~65 cm).All patients(100%)had self-defecation and automatic micturition function.In the postoperative 6 months,12 patients had enterocotis(11.4%)and 8 patients had constipation (7.6%).Of 86 male cases,the patients in 80 of them(9.9%)reported the occurrence of penile erection after the operations. Conclusion Laparoscopic-assisted Swenson-like approach is an excellent technique for Hirschsprung's disease,offers excellent long-term outcomes for micturition and defecation function.Also,reduce the related complications caused by Soave Muscle sheath Duhamel pouch.关键词
先天性巨结肠症/腹腔镜/Swenson术/Duhamel术/Soave术Key words
Hirschsprung's disease/Laparoscopy/Swenson/Duhamel/Soave引用本文复制引用
潘伟康,杨薇粒,郑百俊,段怡涛,余辉,程继文,黄强,高亚,李鹏..腹腔镜辅助Swenson-like巨结肠根治术105例[J].临床小儿外科杂志,2018,17(2):112-116,5.基金项目
国家自然科学基金资助(81701501) （81701501）
