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[先天性巨结肠症的腹腔镜手术]

[Laparoscopic surgery in Hirschsprung's disease].

作者信息

Lima M, Antonellini C, Ruggeri G, Libri M, De Biagi L, Gargano T, Gentili A

机构信息

Chirurgia Pediatrica, Scuola di Specializzazione in Chirurgia Pediatrica, Via Massarenti, 11-40138 Bologna.

出版信息

Pediatr Med Chir. 2007 Jan-Feb;29(1):19-22.

Abstract

The laparoscopic treatment of benign conditions of the colon represents only one of the numerous application fields of the modern laparoscopic techniques in pediatric surgery. Until the half of the 1990's, the surgical treatment of choice for Hirschsprung's disease has been the procedure ideated by Soave in the early 1960's. Nowadays, the optimal treatment in the classic forms of aganglionic megacolon consists in performing, in neonatal age or in the first months of life, a transanal extramucous pull-through. This approach can be integrated by a laparoscopic step. From September 2000, at the Department of Pediatric Surgery, Bologna University, we have operated 21 cases of congenital aganglionic megacolon with this technique.

摘要

腹腔镜治疗结肠良性疾病只是现代腹腔镜技术在小儿外科众多应用领域中的一个。直到20世纪90年代中期,先天性巨结肠症的首选手术治疗方法一直是20世纪60年代初由索阿韦提出的术式。如今,经典型无神经节细胞巨结肠的最佳治疗方法是在新生儿期或出生后的头几个月进行经肛门黏膜外拖出术。这种方法可以通过一个腹腔镜步骤加以完善。自2000年9月起,我们在博洛尼亚大学小儿外科采用这种技术为21例先天性无神经节细胞巨结肠患儿实施了手术。

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