[1]魏延栋 马丽霜** 王莹 冯翠竹 刘超 张艳霞 李景娜.腹腔镜手术治疗新生儿食管裂孔疝11例报告[J].中国微创外科杂志,2022,01(10):825-829.
　Wei Yandong,Ma Lishuang,Wang Ying,et al.Laparoscopic Repair for Neonatal Esophageal Hiatal Hernia: a Clinical Analysis of 11 Cases[J].Chinese Journal of Minimally Invasive Surgery,2022,01(10):825-829.
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腹腔镜手术治疗新生儿食管裂孔疝11例报告()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2022年10期
页码:
825-829
栏目:
短篇论著
出版日期:
2023-01-20

文章信息/Info

Title:
Laparoscopic Repair for Neonatal Esophageal Hiatal Hernia: a Clinical Analysis of 11 Cases
作者:
魏延栋 马丽霜** 王莹 冯翠竹 刘超 张艳霞 李景娜
(首都儿科研究所附属儿童医院新生儿外科，北京100020)
Author(s):
Wei Yandong;  Ma Lishuang;  Wang Ying;  et al.
Department of Neonatal Surgery, Affiliated Children’s Hospital, Capital Institute of Pediatrics, Beijing 100020, China
关键词:
产前诊断; 食管裂孔疝; 腹腔镜; 新生儿
Keywords:
Prenatal diagnosis; Esophageal hiatal hernia; Laparoscope; Neonate
文献标志码:
A
摘要:
目的探讨腹腔镜手术治疗新生儿食管裂孔疝(产前超声诊断)的临床效果。方法回顾性分析2015年5月～2021年1月我科11例新生儿(男7例，女4例)食管裂孔疝(产前超声诊断)的临床资料。手术时患儿年龄2~94 d(中位数4 d)。体重(2.82±0.51)kg。出生后胸部CT、上消化道造影明确诊断，采用腹腔镜下四孔法行食管裂孔疝修补、胃底折叠术，其中9例Nissen术，2例Thal术。结果11例均在腹腔镜下完成手术，无中转开腹手术。9例Nissen术，手术时间(1730±43.8)min；2例Thal术的手术时间分别为184、206 min。术后恢复进食时间(2.5±1.2)d。住院时间(14.1±4.1)d。11例患儿随访7~74个月，中位随访28个月，术后食管裂孔疝无复发，身高、体重与同龄儿无明显差别，无明显呕吐，无纳奶呛咳。结论新生儿期行腹腔镜手术治疗产前诊断的食管裂孔疝是安全可靠的。
Abstract:
ObjectiveTo explore the clinical efficacy of laparoscopic esophageal hernia repair for neonatal esophageal hiatal hernia by ultrasonographic diagnosed prenatally.MethodsFrom May 2015 to January 2021, a total of 11 neonates (7 males and 4 females) with esophageal hiatal hernia diagnosed prenatally were treated with laparoscopic hiatal hernia repair. The age at operation was 2-94 days old, with a median of 4 days old. The body weight was (2.82±0.51) kg. Preoperative chest CT and upper gastrointestinal radiography were performed to confirm the diagnosis of esophageal hiatal hernia. All the 11 children underwent laparoscopic fourhole repair of esophageal hiatal hernia and gastric fundus folding, including 9 cases of Nissen procedure and 2 cases of Thal procedure. ResultsAll the operations were performed under laparoscopy without conversion to laparotomy. The operation time of 9 cases of Nissen procedure was (173.0±43.8)min. The operation time of Thal procedure was 184 min and 206 min, respectively. The time to postoperative diet was (2.5±1.2) days. The hospital stay was (14.1±4.1) days. The 11 neonates were followed up for 7-74 months, with a median of 28 months. No postoperative recurrence of esophageal hiatal hernia occurred. There was no significant difference in height and weight between children of the same age. No obvious vomiting or choking with milk was found.ConclusionIt is safe and reliable to perform laparoscopic surgery in neonatal period for the treatment of esophageal hiatal hernia diagnosed prenatally.

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备注/Memo

备注/Memo:
基金项目：北京市卫生与健康科技成果和适宜技术推广项目(BHTPP202005)；北京市儿科学科协同发展中心儿科专项基金资助项目（XTGL201912）**通讯作者，Email:malishuang2006@sina.com
更新日期/Last Update: 2023-01-20