摘要
目的探讨腹腔镜小儿先天性膈疝修补术的疗效。方法2002年6月-2005年12月，我们对11例小儿先天性膈疝（3例新生儿年龄3—24h，余8例2—24个月）施行三孔或四孔腹腔镜手术。还纳疝内容物，丝线缝合膈肌修补缺损。结果10例手术修补成功。1例新生儿腹腔镜手术后3d膈疝复发，再次腹腔镜手术修补成功。手术时间55—180min，平均100min，术中出血量1—2ml。术后1—2d开始进食。11例随访9—24个月，平均16个月，X线检查膈肌位置正常。结论腹腔镜小儿先天性膈疝修补术安全可靠，创伤小，可清晰显露术野，术中还可探查有无腹部其他先天性畸形。
Objective To explore the curative effect of laparoscopic repair of congenital diaphragmatic hernia in children. Methods Three newborns （age, 3 - 24 hours） and 8 infants （age, 2 - 24 months ） with congenital diaphragmatic hernia underwent 3- port or 4-port laparoscopic repair from June 2002 to December 2005 in this hospital. The hernial content was reduced and the defect was repaired by using intermittent sutures. Results The laparoscopic operation was successfully completed in 10 cases, while a recurrence was encountered in 1 newborn 3 days after the laparoscopic operation and then was cured by a re-operation of laparoseopic repair. The operative time ranged 55 - 180 min （mean, 100 min）, and the intraoperative blood loss was 1 -2 ml. All the patients began to take food at 1 -2 days after operation. Follow-up examinations in the 11 patients for9 -24 months （mean, 16 months） showed a normal position of the diaphragm under fluoroscopy. Conclusions Laparoscopic repair of pediatric congenital diaphragmatic hernia is a feasible and safe technique, with advantages of clear visualization and thorough abdominal exploration.
出处
《中国微创外科杂志》
CSCD
2006年第8期597-598,共2页
Chinese Journal of Minimally Invasive Surgery
关键词
腹腔镜
先天性膈疝
Laparoscopic
Congenital diaphragmatic hernia
