Luo Yanmei, Liu Jie, Jiang Zhihui, Yang Xinghai, Lin Song, Mao Xiaowen
Department of Pediatric Surgery, Maternal and Child Health Hospital of Hubei, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People's Republic of China.
Department of Pediatric Surgery, Yijishan Hospital of Wannan Medical College, Wannan Medical College, Wuhu, People's Republic of China.
Ther Clin Risk Manag. 2023 Oct 11;19:801-810. doi: 10.2147/TCRM.S426691. eCollection 2023.
To compare and analyze the therapeutic effects of endoscopy-assisted laparoscopic surgery (EALS) and laparoscopic surgery (LS) in the treatment of gastric duplication cysts (GDCs).
We reviewed the clinical data of children with GDCs who underwent surgical treatment at Hubei Maternal and Child Health Hospital, Yijishan Hospital of Wannan Medical College, and Qingdao Women and Children's Medical Center from September 2014 to November 2022.
The study comprised 29 children with GDCs, including 14 in the EALS group and 15 in the LS group. There was no significant difference between the two groups in terms of age, sex, weight, and cyst size characteristics. There was a significant difference between the two groups in terms of average surgical time (P>0.05), which was 1.100 ± 0.833 hours in the EALS group and 1.933 ± 0.159 hours in the LS group. There was a significant difference between the two groups (P<0.05) in average intraoperative blood loss, which was 7.93 ± 3.81 milliliters in the EALS group and 11.80 ± 2.72 milliliters in the LS group. There was a significant difference between the two groups (P<0.05) in average postoperative fasting time, which was 73.79 ± 8.36 hours in the EALS group and 114.1 ± 9.24 hours in the LS group. There was a significant difference between the two groups (P<0.05) in average postoperative hospital stay, which was 10.21 ± 4.25 days in the EALS group and 14.47 ± 4.36 days in the LS group.
EALS technology can not only shorten surgical time, accurately locate GDCs, reduce injuries, and decrease the probability of complications but also achieve treatment goals safely and reliably.
比较和分析内镜辅助腹腔镜手术（EALS）与腹腔镜手术（LS）治疗胃重复囊肿（GDCs）的疗效。
回顾2014年9月至2022年11月在湖北省妇幼保健院、皖南医学院弋矶山医院和青岛市妇女儿童医院接受手术治疗的GDCs患儿的临床资料。
本研究纳入29例GDCs患儿，其中EALS组14例，LS组15例。两组在年龄、性别、体重和囊肿大小特征方面无显著差异。两组平均手术时间有显著差异（P>0.05），EALS组为1.100±0.833小时，LS组为1.933±0.159小时。两组平均术中出血量有显著差异（P<0.05），EALS组为7.93±3.81毫升，LS组为11.80±2.72毫升。两组平均术后禁食时间有显著差异（P<0.05），EALS组为73.79±8.36小时，LS组为114.1±9.24小时。两组平均术后住院时间有显著差异（P<0.05），EALS组为10.21±4.25天，LS组为14.47±4.36天。
EALS技术不仅能缩短手术时间，准确定位GDCs，减少损伤，降低并发症发生率，还能安全可靠地实现治疗目标。
