摘要
目的探讨腹腔镜在空气灌肠失败的肠套叠治疗中的应用,提高临床医师对继发性肠套叠的认识。方法患儿短期内反复发生肠套叠且空气灌肠不能整复,结合相关文献,与患者家属充分沟通后,行单通道腹腔镜辅助下肠套叠整复治疗。结果患儿术后恢复顺利,术后病理证实为回肠异位胰腺,腺体内见腺泡及润管结构。术后第4天恢复流质饮食,无呕吐、腹胀等不良反应,无吻合口漏及狭窄等并发症,术后第6天出院。结论腹腔镜治疗肠套叠具有创伤小、术后恢复快的优势,并能取得不错的美容效果,相比传统开腹手术具有一定的优势。
Objective To explore the application of laparoscopy in the treatment of intussusception failed by air enema,and to improve clinicians'understanding of secondary intussusception.Methods In the short-term recurrence of intussusception and air enema failure,combined with relevant literature,after full communication with the patient′s family,single-channel laparoscopic assisted intussusception reconstruction treatment was performed.Results Postoperative recovery was smooth,and postoperative pathology confirmed that the patient had an ectopic pancreas in the ileum,with alveolar and ductal structures seen in the gland.The child resumed liquid diet on the 4th postoperative day,with no adverse reactions such as vomiting and abdominal distension,no complications such as anastomotic leakage and stenosis,and was discharged from the hospital on the 6th postoperative day.Conclusions Laparoscopic treatment of intussusception has the advantages of less trauma,faster postoperative recovery,and good cosmetic results,compared with traditional open surgery.
作者
古浩
荆玉雷
王达丰
金鑫
蔡义进
禚孝颖
石英佐
Gu Hao;Jing Yulei;Wang Dafeng;Jin Xin;Cai Yijin;Zhuo Xiaoying;Shi Yingzuo(Department of Pediatric Surgery,The Affiliated Children′s Hospital of Jiangnan University,Wuxi 214023,China;Wuxi Medical Center,Nanjing Medical University,211103,China)
出处
《中华腔镜外科杂志(电子版)》
2024年第6期365-367,共3页
Chinese Journal of Laparoscopic Surgery(Electronic Edition)
关键词
单通道腹腔镜
异位胰腺
继发性肠套叠
Heterotopic pancreas
Pathological intussusception
Single-site laparoscopic
