Li Bing, Chen Bing Wei, Wang Qing Shou, Wang Bo Ye
Department of Pediatric Surgery, Huai'an Women and Children's Hospital, Jiang Su, Huai'an, China.
Eur J Pediatr Surg. 2016 Dec;26(6):519-523. doi: 10.1055/s-0035-1568996. Epub 2015 Dec 5.
The objective of this study is to evaluate a novel simplified technique of thoracoscopic repair of congenital diaphragmatic hernia (CDH) in infants. A retrospective review of the new simplified technique in 12 CDH patients admitted between March 2013 and March 2015 was performed. A needle with nonabsorbable 2-0 sutures threaded in the lumen was used to approximate edges of the hernia defect. A total of 12 infants with CDH underwent the repair successfully using this new technique. There were 7 boys and 5 girls with a median age of 104.7 days (range, 1 days-17 months). The mean operative time was 65 minutes (range, 35-125 minutes). No conversion or synthetic patch was required. The patients were followed up for 6 to 30 months (mean, 17.5 ± 8.5 months). There was no mortality and no recurrence. The new modified technique of thoracoscopic diaphragmatic hernia repair reduces the difficulty of intracorporal suturing under tension.
本研究的目的是评估一种用于婴儿先天性膈疝（CDH）胸腔镜修复的新型简化技术。对2013年3月至2015年3月收治的12例CDH患者采用的新简化技术进行了回顾性分析。使用一根管腔内穿有不可吸收2-0缝线的针来对疝缺损边缘进行对合。共有12例CDH婴儿成功采用此新技术进行了修复。其中男7例，女5例，中位年龄为104.7天（范围1天至17个月）。平均手术时间为65分钟（范围35至125分钟）。无需中转开腹或使用合成补片。对患者进行了6至30个月的随访（平均17.5±8.5个月）。无死亡病例，也无复发。胸腔镜膈疝修复的新改良技术降低了张力下体内缝合的难度。
