Clifton Matthew S, Wulkan Mark L
Department of Surgery, Division of Pediatric Surgery, Emory University School of Medicine, 1405 Clifton Road NE, Atlanta, GA 30322, USA.
Department of Surgery, Division of Pediatric Surgery, Emory University School of Medicine, 1405 Clifton Road NE, Atlanta, GA 30322, USA.
Clin Perinatol. 2017 Dec;44(4):773-779. doi: 10.1016/j.clp.2017.08.011. Epub 2017 Sep 28.
Congenital diaphragmatic hernia can be approached successfully using minimally invasive techniques. Although there are may be a suggestion of higher recurrence rates with thoracoscopic repair, this may be due to the learning curve. However, open repair is associated with additional morbidity, most notably an increased rate of small bowel obstruction. Appropriate patients who have congenital diaphragmatic hernia should be offered the benefits of minimally invasive repair.
先天性膈疝可以通过微创技术成功治疗。虽然有迹象表明胸腔镜修复的复发率可能更高,但这可能是由于学习曲线的原因。然而,开放修复会带来额外的发病率,最明显的是小肠梗阻发生率增加。患有先天性膈疝的合适患者应接受微创修复的益处。