脑室腹腔分流术后儿童成功实施腹腔镜胃底折叠术。

Successful laparoscopic fundoplication in children with ventriculoperitoneal shunts.

作者信息

Kimura T, Nakajima K, Wasa M, Yagi M, Kawahara H, Soh H, Ohtani M, Okada A

机构信息

Department of Pediatric Surgery, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, Suita, Osaka 565-0871, Japan.

出版信息

Surg Endosc. 2002 Jan;16(1):215. doi: 10.1007/s00464-001-4104-2. Epub 2001 Nov 12.

DOI:10.1007/s00464-001-4104-2

PMID:11961645

Abstract

We reported successful laparoscopic fundoplication in 2 pediatric cases with VPS and discuss the safety and feasibility of the procedure. Case 1: A 13-year-old girl with VPS underwent laparoscopic fundoplication. Case 2: a 9-year-old boy with VPS underwent laparoscopic fundoplication. In both cases, laparoscopic Nissen fundoplication was performed with a standard five-port technique with a low pressure of a pneumoperitoneum. The VPS system had no effect on port layout and intraabdominal manipulation and no adverse complications were observed in either case. The effect of a pneumoperitoneum in the VPS system remains controversial, however, the author emphasized that advanced laparoscopic surgery can be performed safely with creating a low pressure of a pneumoperitoneum.

摘要

我们报告了2例患有VPS的儿科患者成功进行腹腔镜胃底折叠术，并讨论了该手术的安全性和可行性。病例1：一名患有VPS的13岁女孩接受了腹腔镜胃底折叠术。病例2：一名患有VPS的9岁男孩接受了腹腔镜胃底折叠术。在这两个病例中，均采用标准的五孔技术进行腹腔镜尼氏胃底折叠术，气腹压力较低。VPS系统对端口布局和腹腔内操作没有影响，且两个病例均未观察到不良并发症。然而，气腹在VPS系统中的作用仍存在争议，作者强调，通过创建低气腹压力可以安全地进行先进的腹腔镜手术。