Muensterer Oliver J, Keijzer Richard
Division of Pediatric Surgery, Weill Cornell Medical College, 525 East 68th Street, Box 209, New York, NY 10021, USA.
Pediatr Surg Int. 2011 Dec;27(12):1351-3. doi: 10.1007/s00383-011-2884-6. Epub 2011 Apr 3.
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.
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。
