Tan Y W, Jaffray B
Department of Paediatric Surgery, The Royal Victoria Infirmary, Queen Victoria Road, Newcastle upon Tyne, NE1 4LP, UK.
Pediatr Surg Int. 2009 Oct;25(10):877-9. doi: 10.1007/s00383-009-2443-6.
To compare laparoscopic restorative proctocolectomy (RP) in children with the same operation performed using open surgery.
Case-control comparison of two consecutive cohorts undergoing procto-colectomy by one surgeon. Outcome variables measured were: operating time, blood loss, hospital stay and complication rates.
Twenty-two children, mean age 13 years, underwent RP. Eleven laparoscopic cases were compared with the preceding open case. There was no difference in operating time (443 vs. 403 min, P = 0.479), blood loss (159 vs. 417 ml, P = 0.082), complication rate (4 vs. 1) or hospital stay (14 vs. 19 days, P = 0.192).
Laparoscopic RP is feasible and safe in children. The small number of children recruited may mask benefits in blood loss and hospital stay for laparoscopic surgery.
比较儿童腹腔镜保留直肠结肠切除术（RP）与开放式手术进行的相同手术。
对由一名外科医生连续进行直肠结肠切除术的两个队列进行病例对照比较。测量的结果变量包括：手术时间、失血量、住院时间和并发症发生率。
22名儿童，平均年龄13岁，接受了RP手术。将11例腹腔镜手术病例与之前的开放手术病例进行比较。手术时间（443对403分钟，P = 0.479）、失血量（159对417毫升，P = 0.082）、并发症发生率（4对1）或住院时间（14对19天，P = 0.192）均无差异。
腹腔镜RP手术在儿童中是可行且安全的。招募的儿童数量较少可能掩盖了腹腔镜手术在失血量和住院时间方面的优势。
