[1]管考平,刘树立,李旭,等.经脐单切口腹腔镜手术治疗6例婴幼儿小肠套叠[J].中国微创外科杂志,2018,18(6):559-561.
　Guan Kaoping,Liu Shuli,Li Xu,et al.Transumbilical Single Incision Laparoscopic Treatment for Small Intestine Intussusception in 6 Infants[J].Chinese Journal of Minimally Invasive Surgery,2018,18(6):559-561.
点击复制

经脐单切口腹腔镜手术治疗6例婴幼儿小肠套叠()
分享到：

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

卷:
18
期数:
2018年6期
页码:
559-561
栏目:
经验交流
出版日期:
2018-09-30

文章信息/Info

Title:
Transumbilical Single Incision Laparoscopic Treatment for Small Intestine Intussusception in 6 Infants
作者:
管考平; 刘树立; 李旭; 张军; 叶茂; 魏延栋; 李龙*
首都儿科研究所附属儿童医院外科，北京100010
Author(s):
Guan Kaoping;  Liu Shuli;  Li Xu;  et al.
Department of Surgery, Affiliated Children’s Hospital of Capital Institute of Pediatrics, Beijing 100010, China
关键词:
婴幼儿; 腹腔镜; 急性肠套叠; 单孔
Keywords:
Infant; Laparoscopy; Acute intussusception; Single port
文献标志码:
B
摘要:
目的探讨脐部单切口腹腔镜手术治疗婴幼儿小肠套叠的可行性和安全性。方法2014年3月~2016年3月对6例小肠套叠患儿采用经脐单孔腹腔镜探查复位，其中单纯小肠套叠3例，1例合并憩室行楔形切除术；2例合并肠重复畸形行肠切除吻合，3例消化道畸形均经脐切口提出腹外完成病变切除肠吻合术。结果6例均顺利完成手术，手术时间30~65 min，平均41.7 min。术后2~5 d（平均3 d）进流质饮食，3~7 d(平均5 d)出院，无严重并发症发生。6例随访3~10个月，平均6个月，患儿生长发育良好，脐部无明显瘢痕，外观满意。结论经脐单切口腹腔镜手术治疗婴幼儿小肠套叠安全、可行。
Abstract:
ObjectiveTo evaluate the feasibility, safety and efficacy of transumbilical single incision laparoscopic hepapaticojejunostomy (SILH) for small intestine intussusceptions in infants.MethodsBetween March 2014 and March 2016, there were 6 cases of small intestine intussusception. Laparoscopic exploration was performed by transumbilical procedure. There were 3 cases of simple small intestine intussusceptions, including 1 case of combined diverticulum receiving wedge resection and 2 cases of combined intestinal duplication receiving resection and anastomosis. There were 3 cases of digestive tract malformation, which were given extraperitoneal resection and anastomosis through the umbilical incision.ResultsAll the patients underwent operation successfully. The operative time was 30-65 min (mean, 41.7 min). Oral intake of liquid diet started on postoperative 2-5 d (mean, 3 d). The length of hospitalization was 3-7 d (mean, 5 d). No severe complications were found. All the patients were followed up for 3-10 months (mean, 6 months). The infant patients had normal growth and development and satisfactory abdominal appearance, without obvious scars.ConclusionTransumbilical single incision laparoscopic treatment for small intestine intussusceptions in infants is safe and feasible.

参考文献/References:

[1]王果，李振东，主编.小儿肛肠外科学.郑州：中原农民出版社，1999.158-165.
[2]王世城，裴广华，李林，等.小儿继发性肠套叠的超声诊断价值.天津医药，2012,40（5）：522-523.
[3]施诚仁，金先庆，主编.小儿外科学.第4版.北京：人民卫生出版社，2009.291.
[4]陈朝阳，何崇伟，刘丽，等.腹腔镜联合水压灌肠肠套叠复位术治疗小儿肠套叠（附6例报告）.中国微创外科杂志，2015,15（6）:551-552.
[5]Muensterer OJ, Adibe OO, Harmon CM, et al. Single-incision laparoscopic pylomyomyotomy:initial experience. Surg Endosc,2010,24(7):1589-1593.
[6]李炳，陈卫兵，王寿青，等.经脐单切口腹腔镜治疗新生儿肠闭锁和狭窄.中华胃肠外科杂志，2013,16（1）：44-47.
[7]张军，葛军涛，魏延栋，等.单孔腹腔镜治疗小儿腹股沟嵌顿疝的探讨.中国微创外科杂志，2014,14（9）:769-771.
[8]夏江燕，林戈轩，蔡玉新，等.超声检查在小儿肠套叠诊断中的临床价值.新疆医学，2016,46（2）：192-193.

备注/Memo

备注/Memo:
*通讯作者，E-mail:lilong23@126.com
更新日期/Last Update: 2018-09-30