腹腔镜辅助经肛门直肠拖出术治疗先天性巨结肠：一项回顾性研究。
Laparoscopic-assisted endorectal pull-through for Hirschsprung's disease. A retrospective study.
作者信息
Li Xiaogang, Li Xiaoyun, Cheng Jun, Zhang Yongkang, Zou Wei, Xie Fei, Tao Zhenggui, Tang Shaotao, Du Mingguo, Liao Xiaofeng
机构信息
Department of General Surgery, Xiangyang Central Hospital, Hubei College of Liberal Arts and Sciences, Xiangyang, China. E-mail.
出版信息
Saudi Med J. 2017 Dec;38(12):1255-1258. doi: 10.15537/smj.2017.12.20859.
OBJECTIVES
To summarize the efficacy of the laparoscopic-assisted transanal-endorectal pull-through procedure for Hirschsprung's disease (HD).
METHODS
Between May 2006 and May 2013, 22 children with HD undergoing laparoscopic-assisted endorectal pull-through procedures were retrospectively analyzed. The operative time, pathology, intraoperative blood loss, recovery time for gastrointestinal function, postoperative hospital stay, complications, and defecation functions of the patients were analyzed.
RESULTS
The procedure was successfully completed in all 22 patients without conversion to open surgery. The operative time was 105-190 minutes (mean, 160.4 minutes), and the intraoperative blood loss was 20-50 ml. The mean time for the recovery of gastrointestinal function was 22 hours, and the mean postoperative hospital stay was 8 days. All patients had 1-3 defecations per day at 6 months postoperatively without constipation, soiling, or stoma stenosis.
CONCLUSION
The laparoscopic-assisted transanal-endorectal pull-through procedure is a safe and feasible technique for patients with HD.
目的
总结腹腔镜辅助经肛门直肠内拖出术治疗先天性巨结肠（HD）的疗效。
方法
回顾性分析2006年5月至2013年5月期间接受腹腔镜辅助直肠内拖出术的22例HD患儿。分析患者的手术时间、病理、术中出血量、胃肠功能恢复时间、术后住院时间、并发症及排便功能。
结果
22例患者均成功完成手术，无一例转为开放手术。手术时间为105 - 190分钟（平均160.4分钟），术中出血量为20 - 50毫升。胃肠功能恢复的平均时间为22小时，术后平均住院时间为8天。所有患者术后6个月每天排便1 - 3次，无便秘、污粪或造口狭窄。
结论
腹腔镜辅助经肛门直肠内拖出术对HD患者是一种安全可行的技术。
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