腹腔镜辅助诊治小儿胃前幽门黏膜肌层肥厚三例

Laparoscope-assisted diagnosis and treatment of prepyloric web in children--report of three cases.

机构信息

Department of Pediatric Surgery, Huai'an Women and Children's Hospital, 104 Renmin Road South, Jiang Su, 223002, PR China.

出版信息

J Pediatr Surg. 2013 Jul;48(7):1633-6. doi: 10.1016/j.jpedsurg.2013.03.065.

DOI:10.1016/j.jpedsurg.2013.03.065

PMID:23895986

Abstract

Prepyloric web is a rare diagnosis in pediatrics; only sporadic cases were described in the literature. Treatment is classically performed by open surgery; laparoscope-assisted diagnosis and treatment of prepyloric web in children have not been reported. Three cases with prepyloric web were diagnosed and treated by laparoscope-assisted procedure in our hospital from June 2009 to October 2010. There were no conversions to open surgery and no intraoperative various complications. After following up for 31-42 (mean 36.3) months postoperatively, the 3 infants remained asymptomatic and thriving. The early experiences suggest that the outcomes are excellent.

摘要

胃前黏膜皱襞在儿科中是一种罕见的诊断，仅在文献中有零星病例报道。经典的治疗方法是开腹手术；腹腔镜辅助诊断和治疗儿童胃前黏膜皱襞尚未见报道。我院 2009 年 6 月至 2010 年 10 月期间，通过腹腔镜辅助手术诊断和治疗了 3 例胃前黏膜皱襞患儿，无中转开腹，无术中各种并发症。术后随访 31-42 个月（平均 36.3 个月），3 例患儿均无症状，生长良好。早期经验表明，治疗效果极佳。