Anderson Scott A, Beierle Elizabeth A, Chen Mike K
Division of Pediatric Surgery, University of Alabama at Birmingham, 1600 7th Ave South, JFL 300, Birmingham, Alabama 35233-1711.
Division of Pediatric Surgery, University of Alabama at Birmingham, 1600 7th Ave South, JFL 300, Birmingham, Alabama 35233-1711.
Semin Pediatr Surg. 2014 Dec;23(6):353-6. doi: 10.1053/j.sempedsurg.2014.06.007. Epub 2014 Jun 4.
The formation of adhesions after abdominal surgery can lead to increased morbidity in children, increases the incidence of readmission, and may pose a significant challenge to subsequent surgical care over their lifetime. As the pathophysiology of peritoneal adhesion formation has been better understood, preventive strategies that minimize surgical trauma and contamination have been sought. Laparoscopy, over the past few decades, has become an increasingly utilized approach for many pediatric surgical problems and intuitively should have an advantage over open surgery in reducing adhesion formation. In this review, we examine the utility of laparoscopy in both the prevention and the treatment of intraabdominal adhesive disease in children.
腹部手术后粘连的形成可导致儿童发病率增加，再入院率上升，并且可能对其一生后续的外科治疗构成重大挑战。随着对腹膜粘连形成的病理生理学有了更深入的了解，人们一直在寻求将手术创伤和污染降至最低的预防策略。在过去几十年中，腹腔镜检查已越来越多地用于解决许多小儿外科问题，直观上在减少粘连形成方面应比开放手术具有优势。在本综述中，我们探讨了腹腔镜检查在儿童腹腔内粘连性疾病的预防和治疗中的作用。
