腹腔镜与开腹手术治疗新生儿环状胰腺的对比研究

发布时间：2018-06-17 02:16

本文选题：腹腔镜 + 新生儿环状胰腺　；参考：《中国微创外科杂志》2017年11期

【摘要】：目的比较腹腔镜手术与开腹手术治疗新生儿环状胰腺的疗效。方法回顾性分析2013年5月~2015年12月我院31例新生儿环状胰腺(不包括合并其他严重畸形)的临床资料,其中21例行开腹十二指肠菱形吻合术(开腹组),10例行腹腔镜下十二指肠菱形吻合术(腔镜组)。结果腹腔镜组10例均完成腹腔镜下十二指肠菱形吻合术,无中转开腹。腔镜组手术时间(122.5±21.4)min,明显长于开腹组(75.4±10.9)min(t=8.190,P=0.000);进食时间(5.2±0.9)d,明显早于开腹组(6.4±1.1)d(t=-2.997,P=0.006);住院时间(9.7±1.5)d,明显短于开腹组(12.2±1.6)d(t=-4.415,P=0.000)。2组术后均无吻合口狭窄和吻合口漏。29例术后平均随访13.7月(9~36个月),无手术并发症发生。结论腹腔镜十二指肠菱形吻合术治疗新生儿环状胰腺是安全可行的,较开腹手术具有进食时间早,住院时间短等优势,值得临床推广。
[Abstract]:Objective to compare the efficacy of laparoscopic surgery and open surgery in the treatment of neonatal annular pancreas. Methods the clinical data of 31 neonates with annular pancreas (excluding other severe malformations) in our hospital from May 2013 to December 2015 were retrospectively analyzed. Among them, 21 cases underwent laparotomy and diamond-shaped duodenostomy (laparotomy group), 10 cases underwent laparoscopic duodenal rhomboidostomy (endoscopic group). Results Laparoscopic duodenal rhombus anastomosis was performed in 10 cases of laparoscopic group. The operative time in the endoscopic group was 122.5 卤21.4 min, which was significantly longer than that in the open group (75.4 卤10.9 min), the feeding time was 5.2 卤0.9 days, the feeding time was significantly earlier than that in the laparotomy group (6.4 卤1.1 d ~ 2.997m), and the hospitalization time was 9.7 卤1.5 d, significantly shorter than that in the open group (12.2 卤1.6 d ~ 4.415t ~ 0.000.2). There was no anastomotic stricture and leakage of anastomosis. 29 cases were followed up for an average of 13.7-36 months after operation. No complications occurred. Conclusion Laparoscopic duodenal rhomboidostomy is safe and feasible in the treatment of neonatal annular pancreas, which has the advantages of earlier feeding time and shorter hospital stay than open operation, so it is worth popularizing in clinic.
【作者单位】：首都儿科研究所附属儿童医院普外新生儿科;
【基金】：北京市医院管理局临床医学发展专项“扬帆”计划(项目编号:ZYLX201306)
【分类号】：R722.1

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