用于十二指肠闭锁的脐褶切口可获得极佳的美容效果。
Umbilical crease incision for duodenal atresia achieves excellent cosmetic results.
作者信息
Takahashi Yukiko, Tajiri Tatsuro, Masumoto Kouji, Kinoshita Yoshiaki, Ieiri Satoshi, Matsuura Toshiharu, Higashi Mayumi, Taguchi Tomoaki
机构信息
Department of Pediatric Surgery, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan.
出版信息
Pediatr Surg Int. 2010 Oct;26(10):963-6. doi: 10.1007/s00383-010-2645-y.
BACKGROUND
The surgical procedure for treating congenital duodenal atresia has normally been performed by an upper abdominal transverse incision. Recently, duodenoduodenostomy has been attempted using an umbilical crease incision to improve the cosmetic results.
METHODS
Eighteen cases of duodenal obstruction, including 15 atresia, 2 stenosis, and 1 atresia and stenosis, were treated from June 2001 to August 2009, in which 8 cases were performed via the umbilical crease incision and 10 cases via the conventional transverse incision. The clinical records of all cases were evaluated retrospectively.
RESULTS
All cases underwent radical operation safely. There were no differences in the operating time between the two kinds of incision. Two cases of umbilical crease incision showed minor complications. All the cases operated via the umbilical crease incision achieved a scarless abdomen within a few months after the operation.
CONCLUSIONS
The outcome of duodenal atresia is satisfactory with excellent cosmesis after a duodenoduodenostomy performed via the umbilical crease incision.
背景
治疗先天性十二指肠闭锁的手术通常采用上腹部横切口进行。最近，有人尝试采用脐褶切口行十二指肠十二指肠吻合术以改善美容效果。
方法
2001年6月至2009年8月共治疗18例十二指肠梗阻患者，其中包括15例闭锁、2例狭窄以及1例闭锁合并狭窄。其中8例采用脐褶切口手术，10例采用传统横切口手术。对所有病例的临床记录进行回顾性评估。
结果
所有病例均安全地接受了根治性手术。两种切口的手术时间无差异。脐褶切口组有2例出现轻微并发症。所有采用脐褶切口手术的病例术后数月内腹部均无瘢痕。
结论
经脐褶切口行十二指肠十二指肠吻合术治疗十二指肠闭锁，效果满意，美容效果极佳。
Zotero 插件