Sydorak Roman M, Albanese Craig T
Department of Surgery, Division of Pediatric Surgery, University of California, San Francisco, CA, USA.
Semin Laparosc Surg. 2002 Sep;9(3):133-8.
A growing number of the pediatric antireflux procedures are performed laparoscopically. Although there are no prospective randomized studies comparing conventional open surgery to laparoscopic surgery, there are retrospective and anecdotal data suggesting that the laparoscopic approach is at least as good and, in many cases, better than the open procedure. Once the significant learning curve is achieved, one may attain similar operative times with the benefit of magnification and enhanced visualization of the operative field compared to open surgery. The greatest benefits of laparoscopic antireflux surgery are the cosmetic result, a decrease in postoperative analgesia requirements, and an earlier return to normal daily life for both parents and their children.
越来越多的小儿抗反流手术采用腹腔镜进行。虽然尚无前瞻性随机研究比较传统开放手术与腹腔镜手术，但有回顾性和轶事性数据表明，腹腔镜手术方式至少同样有效，而且在许多情况下比开放手术更好。一旦克服了显著的学习曲线，与开放手术相比，腹腔镜手术可在获得放大视野和更好术野可视化效果的同时，实现相近的手术时间。腹腔镜抗反流手术的最大益处在于美观效果、术后镇痛需求减少，以及患儿及其家长能更早恢复正常日常生活。
