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腹腔镜在小儿里脱氏疝治疗中的应用。

The use of laparoscopy in the management of Littre's hernia in children.

作者信息

Chan K W, Lee K H, Mou J W C, Cheung S T, Tam Y H

机构信息

Division of Paediatric Surgery and Paediatric Urology, Department of Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong SAR, China.

出版信息

Pediatr Surg Int. 2008 Jul;24(7):855-8. doi: 10.1007/s00383-008-2161-5. Epub 2008 Apr 24.

DOI:10.1007/s00383-008-2161-5
PMID:18437397
Abstract

Littre's hernia is a rare complication of Meckel's diverticulum. It was originally defined as 'the presence of a Meckel's diverticulum in any hernia sac' by Rieke in 1841. It is difficult to diagnose before surgery. With the advances in the development of laparoscopic surgery in children, diagnosis of this rare condition, together with subsequent repair of Littre's hernia and Meckel's diverticulectomy can be performed by laparoscopy. We herein report the use of laparoscopy in the management of two boys with Littre's hernia, including one with incarcerated hernia.

摘要

里特疝是梅克尔憩室的一种罕见并发症。1841年,里克最初将其定义为“任何疝囊内存在梅克尔憩室”。术前很难诊断。随着儿童腹腔镜手术的发展,这种罕见病症的诊断以及随后的里特疝修补和梅克尔憩室切除术都可以通过腹腔镜进行。我们在此报告了腹腔镜在两名患有里特疝男孩(包括一名嵌顿疝患儿)治疗中的应用。

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Littre's hernia with an impalpable testis in a boy: a diagnostic dilemma.一名男孩患里脱疝且睾丸无法触及:诊断难题。

本文引用的文献

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Laparoscopic flip-flap technique versus conventional inguinal hernia repair in children.小儿腹腔镜翻转瓣技术与传统腹股沟疝修补术的比较
JSLS. 2007 Jan-Mar;11(1):90-3.
2
Two-trocar needlescopic approach to incarcerated inguinal hernia in children.两套管针针镜入路治疗小儿嵌顿性腹股沟疝
J Pediatr Surg. 2007 Jul;42(7):1259-62. doi: 10.1016/j.jpedsurg.2007.02.018.
3
Meckel's diverticular complications in children: is laparoscopy the order of the day?儿童梅克尔憩室并发症:腹腔镜手术是当下的首选吗?
BMJ Case Rep. 2014 Apr 23;2014:bcr2014203849. doi: 10.1136/bcr-2014-203849.
4
Littré meets de Garengeot: Meckel's diverticulum and appendix in a femoral hernia.里特雷与德加朗若相遇:股疝中的梅克尔憩室与阑尾
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Emergency surgery for Meckel's diverticulum. Meckel 憩室的急诊手术。
World J Emerg Surg. 2008 Aug 13;3:27. doi: 10.1186/1749-7922-3-27.
Pediatr Surg Int. 2007 Feb;23(2):141-7. doi: 10.1007/s00383-006-1844-z. Epub 2006 Dec 14.
4
Laparoscopic percutaneous extraperitoneal closure for inguinal hernia in children: clinical outcome of 972 repairs done in 3 pediatric surgical institutions.小儿腹股沟疝的腹腔镜经皮腹膜外修补术:3家小儿外科机构972例修补手术的临床结果
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5
Littre's hernia in newborn infants: report of two cases.新生儿里脱疝:两例报告
Pediatr Surg Int. 2005 Jun;21(6):485-7. doi: 10.1007/s00383-005-1414-9. Epub 2005 Apr 12.
6
Laparoscopic management of Meckel's diverticulum in children.小儿梅克尔憩室的腹腔镜治疗
J Pediatr Surg. 2005 Mar;40(3):562-7. doi: 10.1016/j.jpedsurg.2004.11.032.
7
Diverticulectomy is inadequate treatment for short Meckel's diverticulum with heterotopic mucosa.憩室切除术对于伴有异位黏膜的短梅克尔憩室而言是不充分的治疗方法。
ANZ J Surg. 2004 Oct;74(10):869-72. doi: 10.1111/j.1445-1433.2004.03191.x.
8
Littre's hernia: strangulation of Meckel's diverticulum in a femoral hernia and an inguinal hernia.里脱疝:股疝和腹股沟疝中梅克尔憩室的绞窄。
Am Surg. 1962 Nov;28:741-4.
9
Laparoscopic inguinal herniorrhaphy in children: a three-center experience with 933 repairs.小儿腹腔镜腹股沟疝修补术:三中心933例修补经验
J Pediatr Surg. 2002 Mar;37(3):395-7. doi: 10.1053/jpsu.2002.30842.
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