Talabi Ademola Olusegun, Adisa Adewale Oluseye, Adefehinti Olufemi, Sowande Oludayo Adedapo, Etonyeaku Amarachukwu Chiduziem, Adejuyigbe Olusanya
Department of Surgery, Obafemi Awolowo University and Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun State 220005, Nigeria.
Afr J Paediatr Surg. 2015 Jan-Mar;12(1):29-32. doi: 10.4103/0189-6725.150947.
Laparoscopy is not yet routinely employed in many Paediatric Surgical Units in Nigeria despite the advantages it offers. This study describes the preliminary experience with laparoscopic procedures in a single centre.
A retrospective analysis of all children who had laparoscopic surgery between January 2009 and December 2013 at the Paediatric Surgical Unit of Obafemi Awolowo University Teaching Hospitals Complex Ile-Ife was carried out. Their sociodemographic, preoperative and intraoperative data along with postoperative records were subjected to descriptive analysis.
Eleven (44%) diagnostic and 14 (56%) therapeutic procedures were performed on 25 children whose age ranged from 5 months to 15 years (Median: 84 months, Mean: 103 ± 64.1 months), including eight (32%) females and 17 (68%) males. Indications included acute appendicitis in 12 (48%), intra-abdominal masses in six (24%), three (12%) disorders of sexual differentiation, two (8%) ventriculoperitoneal shunt malfunctions and impalpable undescended testes in two (8%) children. The procedures lasted 15-90 minutes (Mean = 54 (±21.6) minutes). Conversion rate was 17% for two patients who had ruptured retrocaecal appendices. No intra operative complications were recorded while three (12%) patients had superficial port site infections post-operatively. All diagnostic (11) and two therapeutic procedures were done as day case surgery. The mean duration of hospital stay was 3.1 (±3.3) days for those who had appendectomies.
Laparoscopic surgery in children is safe and feasible in our hospital. We advocate increased use of laparoscopy in paediatric surgical practice in Nigeria and similar developing settings.
尽管腹腔镜手术具有诸多优势，但在尼日利亚的许多儿科手术科室中，它尚未得到常规应用。本研究描述了在单一中心开展腹腔镜手术的初步经验。
对2009年1月至2013年12月期间在奥巴费米·阿沃洛沃大学教学医院综合体伊费儿科手术科室接受腹腔镜手术的所有儿童进行回顾性分析。对他们的社会人口统计学、术前和术中数据以及术后记录进行描述性分析。
对25名年龄在5个月至15岁（中位数：84个月，平均：103±64.1个月）的儿童进行了11例（44%）诊断性手术和14例（56%）治疗性手术，其中包括8名（32%）女性和17名（68%）男性。手术指征包括急性阑尾炎12例（48%）、腹腔内肿块6例（24%）、性分化障碍3例（12%）、脑室腹腔分流术故障2例（8%）以及不可触及的隐睾2例（8%）。手术持续时间为15至90分钟（平均 = 54（±21.6）分钟）。两名盲肠后位阑尾破裂的患者中转开腹率为17%。术中未记录到并发症，而3例（12%）患者术后出现浅表切口感染。所有11例诊断性手术和2例治疗性手术均作为日间手术完成。接受阑尾切除术的患者平均住院时间为3.1（±3.3）天。
在我们医院，儿童腹腔镜手术是安全可行的。我们主张在尼日利亚及类似的发展中地区，儿科手术实践中增加腹腔镜手术的应用。
