单切口小儿内镜辅助下的回盲部切除术用于切除坏死性小肠结肠炎狭窄。

Single-incision pediatric endosurgery-assisted ileocecectomy for resection of a NEC stricture.

作者信息

Muensterer Oliver J, Keijzer Richard

机构信息

Division of Pediatric Surgery, Weill Cornell Medical College, 525 East 68th Street, Box 209, New York, NY 10021, USA.

出版信息

Pediatr Surg Int. 2011 Dec;27(12):1351-3. doi: 10.1007/s00383-011-2884-6. Epub 2011 Apr 3.

DOI:10.1007/s00383-011-2884-6

PMID:21461885

Abstract

A single-incision pediatric endosurgery (SIPES) has not been typically used for operations in premature infants yet. We report a case of a 3-month-old 25-week premature infant who underwent SIPES-assisted ileocecal resection for a stricture after medically treated necrotizing enterocolitis. The patient recovered uneventfully, and was discharged on full feeds 15 postoperatively with virtually no appreciable scar. SIPES is a reasonable alternative for NEC stricture resection in premature infants. Prematurity should not be considered a contraindication to single-incision endosurgery.

摘要

单切口小儿内镜手术（SIPES）目前尚未普遍用于早产儿手术。我们报告了一例3个月大、25周早产的婴儿，该婴儿因坏死性小肠结肠炎经药物治疗后出现狭窄，接受了SIPES辅助的回盲部切除术。患者恢复顺利，术后15天完全经口喂养出院，几乎没有明显疤痕。SIPES是早产儿坏死性小肠结肠炎狭窄切除术的一种合理替代方法。不应将早产视为单切口内镜手术的禁忌证。