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腹腔镜辅助下新生儿及小婴儿巨结肠根治术并发症的防治

戴春娟1,叶祖萍2,胡博2,牛军3   

  1. 1. 天津儿童医院
    2.
    3. 天津市儿童医院外科
  • 收稿日期:2010-01-05 修回日期:2010-03-09 出版日期:2010-10-15 发布日期:2010-10-15
  • 通讯作者: 戴春娟

The complication of laparoscopic Soave pull-through for Hirschsprung’s disease in newborn and small infants

  • Received:2010-01-05 Revised:2010-03-09 Published:2010-10-15 Online:2010-10-15

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摘要： [摘要] 目的 探讨腹腔镜辅助下Soave巨结肠根治术并发症的原因及防治方法。 方法 回顾性分析本院自2006年5月~2009年6月采用腹腔镜辅助下Soave巨结肠根治术28例。 结果 本组7例出现并发症，其中术中腹腔出血1例，小肠结肠炎2例，血尿1例，结肠部分回缩1例，便秘2例。 结论 腹腔镜辅助下Soave巨结肠根治术是目前公认的疗效满意的术式，但存在一定并发症，只要处理恰当，可以尽量避免，或减少并发症的发生。

关键词: 巨结肠, 腹腔镜, 婴儿, 并发症

Abstract: The complication of laparoscopic Soave pull-through for Hirschsprung’s disease in newborn and small infants [abstract] objective To explore the complication of laparoscopic Soave pull-through for Hirschsprung’s disease in newborn and small infants and find it’s prevention method. Methods Twenty-eight cases with Hirschsprung’s disease were operated by a modification Soave’s procedure under laparoscopy form May 2006 to June 2009. Results The complications were found in seven cases after operations, one case with abdominal bleeding, two cases with postoperative enterocolitis, one case with hematuria and one case with colon partly recovery. Conclusions Although laparoscopic Soave pull-through for Hirschsprung’s disease had some avoidable complications by disposing appropriately, it would be a satisfactory method for Hirschsprung’s disease in newborn and small infants.

Key words: Hirschsprung’s disease, Laparoscopy, Infants, Complication