[1]严志龙　 吴晔明　 陈其民　 徐敏　 顾硕.针式腹腔镜辅助下美克尔憩室切除术[J].中国微创外科杂志,2004,04(5):379-384.
　Yan Zhilong,Wu Yeming,Chen Qimin,et al.Needle laparoscopy assisted Meckel's diverticulum resection[J].Chinese Journal of Minimally Invasive Surgery,2004,04(5):379-384.
点击复制

针式腹腔镜辅助下美克尔憩室切除术
分享到：

《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
04
期数:
2004年5期
页码:
379-384
栏目:
出版日期:
2004-05-30

文章信息/Info

Title:
Needle laparoscopy assisted Meckel's diverticulum resection
作者:
严志龙　 吴晔明　 陈其民　 徐敏　 顾硕
严志龙　 吴晔明　 陈其民　 徐敏　 顾硕
Author(s):
Yan Zhilong;  Wu Yeming;  Chen Qimin;  et al.
Department ofSurgery, Shanghai Children’s Medical Center, Shanghai200217, China
关键词:
针式腹腔镜;  美克尔憩室;  小儿
Keywords:
Needle laparoscope; 　Meckel’s diverticulum; 　Children
分类号:
R726.5
文献标志码:
A
摘要:
目的探讨腹腔镜辅助下小儿美克尔憩室切除术的可行性. 方法 2000年10月～2002年4月,腹腔镜下行小儿美克尔憩室切除术12例.分别在右下腹麦氏点及脐与耻骨上中点处做2个3 mm切口,置入3个3 mm trocar.发现憩室后沿脐部下缘将原切口延长至2 cm,腹腔外切除憩室再吻合肠管. 结果 12例顺利完成腹腔镜手术,手术时间1.2～2.5 h.术中出血量2～3 ml.憩室大小1 cm×2 cm～3 cm×4 cm.术后住院5～7 d,切口瘢痕不明显. 结论腹腔镜美克尔憩室切除术可行,创伤小,恢复快,瘢痕不明显.
Abstract:
Objective　To investigate the feasibility of laparoscopy assisted Meckel’s diverticulum resection in children.　Methods 　Meckel’s diverticulum resection was performed under laparoscope in 12 children from October 2000 to April 2002.Two 3 mm incisionswere made on the McBurney point and the midpoint between the umbilicus and the pubis,respectively.Three 3 mmtrocarwere introduced.When the diverticulumwas found,the incision was prolonged to 2 cm long along the inferior border of the umbilicus.The lesion was removed externally and the intestine was anastomosed.　Results　All operationswere completed smoothly under laparoscope. The intraoperative blood losswas 2 ~3 ml and the operation time was 1·2~2·5 h.The diverticulum was 1 cm×2 cm~3 cm×4 cm in size.The patients were dismissed 5~7 daysafter surgery,without obvious scar formation.　Conclusions　Laparoscopic Meckel’s diverticulum resection is feasible, with the advantages of the minimal invasion, rapid recovery and unobvious scars.

参考文献/References:

［1］Lobe TE.The role of laparoscopy. Semin Pediatr Surg,1997,6(2):81-87.
［2］Swaniker F, Soldes O, Hirchl RB. The utility of technetium 99m pertechnetate scintigraphy in the evaluation of patient's with Meckel's diverticulum. J Pediatr Surg,1999,34(5):760-765.
［3］Mckevitt EC, Baerg JE, Nadel HR. Laparoscopy as a cause of a false positive Meckel's scun. Clin Nucl Mecl,1999:24(2):102-104.
［4］Valla TS,Steyaert H,Leculee R. Meckel's diverticulum and laparoscopy of children. Eur J Pediatr Surg,1998,8(1):26-28.

更新日期/Last Update: 2014-06-09