Rozmiarek Andrew, Weinsheimer Robert, Azzie Georges
Children's Hospital of New Mexico, University of New Mexico, Albuquerque, New Mexico 87131-0001, USA.
J Laparoendosc Adv Surg Tech A. 2005 Dec;15(6):667-9. doi: 10.1089/lap.2005.15.667.
The surgical management of congenital diaphragmatic hernias has traditionally been via laparotomy or thoracotomy. Although laparoscopic and thoracoscopic repairs have been described, most reports are in older infants. We describe a method for primary thoracoscopic repair applied in the immediate neonatal period when no posterolateral rim of diaphragm exists. This simple technique for placing the pericostal sutures is a useful adjunct in the thoracoscopic management of diaphragmatic hernias.
先天性膈疝的外科治疗传统上是通过开腹手术或开胸手术进行。虽然已有腹腔镜和胸腔镜修补术的相关报道,但大多数报告针对的是年龄较大的婴儿。我们描述了一种在新生儿期即时应用的原发性胸腔镜修补方法,适用于不存在膈肌后外侧边缘的情况。这种用于放置肋骨周围缝线的简单技术是胸腔镜治疗膈疝的一种有用辅助手段。