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新生儿胃重复囊肿的腹腔镜切除术:5例报告

Laparoscopic resection of gastric duplication cysts in newborns: a report of five cases.

作者信息

Ren Hong-Xia, Duan Li-Qiong, Wu Xiao-Xia, Zhao Bao-Hong, Jin Yuan-Yuan

机构信息

Department of Pediatric Surgery, Shanxi Children's Hospital, 13 New People Avenue, Taiyuan, 030013, Shanxi, China.

出版信息

BMC Surg. 2017 Apr 12;17(1):37. doi: 10.1186/s12893-017-0234-x.

Abstract

BACKGROUND

Gastric duplication cysts are rare congenital alimentary tract anomalies and most cases are recognized during childhood. There were few reports about gastric duplication cysts in newborns and even fewer reports about laparoscopic resection of gastric duplication cysts in newborns.

CASE PRESENTATION

We report a series of five newborns with gastric duplication cysts which were successfully resected by laparoscopy between January 2010 and April 2015. Case 1, a male newborn was admitted because of severe salivation, choking cough and dyspnea for 30 min after birth. Case 2, a male, was suspected of duodenal ileus by antenatal examination. Case 3, a female was admitted because of vomiting for 5 days. Case 4,a female without significant symptoms simply visited us for the abdominal cyst detected by antenatal examination. Case 5, a male was admitted because of vomiting for 4 days. All patients were performed with a surgery after assistant examinations. Case 1 was died of respiratory failure and the other patients recovered uneventfully.

CONCLUSION

Gastric duplication cysts in newborns are very rare. Laparoscopic surgery play an important role on the diagnosis and treatment. Our experience and practice indicate that laparoscopic resection of gastric duplication cysts in newborns is viable and there is also a need to increase sample size to prove its safety and effectiveness.

摘要

背景

胃重复囊肿是罕见的先天性消化道畸形,大多数病例在儿童期被发现。关于新生儿胃重复囊肿的报道很少,关于新生儿腹腔镜下切除胃重复囊肿的报道更少。

病例报告

我们报告了2010年1月至2015年4月期间通过腹腔镜成功切除胃重复囊肿的5例新生儿病例。病例1,一名男性新生儿,因出生后30分钟出现严重流涎、呛咳和呼吸困难入院。病例2,一名男性,产前检查怀疑十二指肠梗阻。病例3,一名女性,因呕吐5天入院。病例4,一名女性,无明显症状,仅因产前检查发现腹部囊肿前来就诊。病例5,一名男性,因呕吐4天入院。所有患者在辅助检查后均接受了手术。病例1死于呼吸衰竭,其他患者均顺利康复。

结论

新生儿胃重复囊肿非常罕见。腹腔镜手术在诊断和治疗中发挥着重要作用。我们的经验和实践表明,新生儿腹腔镜下切除胃重复囊肿是可行的,也需要增加样本量以证明其安全性和有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3586/5388992/524985c7b4f3/12893_2017_234_Fig1_HTML.jpg

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