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经皮 Hitch 缝合在儿科微创手术中的应用：一种新型的“无端口助手”技术。

Transcutaneous Hitching Sutures in Paediatric Minimally Invasive Surgery: A Novel Technique of "Assistant Without Port".

机构信息

Department of Paediatric Surgery, Army Hospital Research and Referral Hospital, New Delhi, India.

Department of Paediatric Surgery, Military Hospital, Meerut, Uttar Pradesh, India.

出版信息

Afr J Paediatr Surg. 2024 Apr 1;21(2):81-84. doi: 10.4103/ajps.ajps_103_22. Epub 2023 Jan 19.

DOI:10.4103/ajps.ajps_103_22
PMID:38546243
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11003575/
Abstract

BACKGROUND

Transcutaneous hitching sutures in paediatric minimally invasive surgery (MIS) is a unique and rare technique. This technique has been used previously in adult patients undergoing gastric resections and laparoscopic cholecystectomy; however, its use in paediatric population has never been reported in the world literature. The primary objective of this study was to bring out the advantages and feasibility of this technique in minimally invasive gastrointestinal, hepatobiliary, urological and thoracoscopic surgeries on paediatric patients.

MATERIALS AND METHODS

This retrospective observational study was conducted on 167 paediatric patients who underwent MIS surgery for different indications between April 2016 and March 2020 at two paediatric surgery tertiary care centres.

RESULTS

A total of 167 patients, including 91 boys and 76 girl patients between the age group of new-born period to 12 years were operated. The mean hospital stay was 4 days. Five out of 167 cases (3%) had post-operative surgical emphysema, which resolved spontaneously. At 6-month follow-up, parental satisfaction was 100%, and in 99% of patients, scars were imperceptible.

CONCLUSION

This versatile technique is of exemplary utility, especially in paediatric patients where there is a paucity of working space at low intra-abdominal pressure, and eases the dissection even in narrow and closed spaces with a better functional and cosmetic outcome.

摘要

背景

经皮提拉缝线在小儿微创外科（MIS）中是一种独特且罕见的技术。该技术先前已应用于成人胃切除术和腹腔镜胆囊切除术；然而，在世界文献中从未报道过其在儿科人群中的应用。本研究的主要目的是展示该技术在小儿胃肠、肝胆、泌尿和胸腔镜手术中的优势和可行性。

材料和方法

这是一项回顾性观察研究，纳入了 2016 年 4 月至 2020 年 3 月期间在两家小儿外科三级护理中心因不同适应证接受 MIS 手术的 167 例小儿患者。

结果

共有 167 例患者，年龄在新生儿期至 12 岁之间，其中 91 例为男孩，76 例为女孩。平均住院时间为 4 天。167 例中有 5 例（3%）出现术后手术性气肿，自行缓解。6 个月随访时，家长满意度为 100%，99%的患者疤痕难以察觉。

结论

这种多功能技术非常实用，尤其是在小儿患者中，由于腹腔内压力低，工作空间有限，该技术便于在狭窄和封闭的空间中进行解剖，从而获得更好的功能和美容效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aad2/11003575/e6ce9751ba96/AJPS-21-81-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aad2/11003575/3634b6ca8401/AJPS-21-81-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aad2/11003575/072b031ed70f/AJPS-21-81-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aad2/11003575/1d97a274c4d1/AJPS-21-81-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aad2/11003575/e6ce9751ba96/AJPS-21-81-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aad2/11003575/3634b6ca8401/AJPS-21-81-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aad2/11003575/072b031ed70f/AJPS-21-81-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aad2/11003575/1d97a274c4d1/AJPS-21-81-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aad2/11003575/e6ce9751ba96/AJPS-21-81-g004.jpg

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本文引用的文献

1
Pediatric anesthesia for minimally invasive surgery in pediatric urology.小儿泌尿外科微创手术的小儿麻醉
Transl Pediatr. 2016 Oct;5(4):214-221. doi: 10.21037/tp.2016.09.02.
2
Laparoscopy in children and its impact on brain oxygenation during routine inguinal hernia repair.儿童腹腔镜检查及其在常规腹股沟疝修补术中对脑氧合的影响。
J Minim Access Surg. 2017 Jan-Mar;13(1):51-56. doi: 10.4103/0972-9941.181800.
3
Challenges in paediatric laparoscopic surgeries.小儿腹腔镜手术中的挑战。
Indian J Anaesth. 2009 Oct;53(5):560-6.
4
Laparoscopic renal surgery in infants 10 kg or less.体重10公斤及以下婴儿的腹腔镜肾脏手术。
J Endourol. 2005 Apr;19(3):397-400. doi: 10.1089/end.2005.19.397.
5
Hand-assisted laparoscopic surgery.手辅助腹腔镜手术
Arch Surg. 2003 Feb;138(2):133-41; discussion 141. doi: 10.1001/archsurg.138.2.133.
6
Laparoscopic transabdominal suspension sutures.腹腔镜经腹悬吊缝合术。
Surg Endosc. 2001 Jul;15(7):761-3. doi: 10.1007/s004640080101. Epub 2001 May 11.
7
Two-port laparoscopic cholecystectomy: an innovative new method for gallbladder removal.两孔腹腔镜胆囊切除术：一种创新的胆囊切除新方法。
J Laparoendosc Adv Surg Tech A. 1998 Oct;8(5):303-8. doi: 10.1089/lap.1998.8.303.
8
Laparoscopic Billroth II distal subtotal gastrectomy with gastric stump suspension for gastric malignancies.腹腔镜毕罗Ⅱ式远端次全胃切除术联合胃残端悬吊术治疗胃恶性肿瘤
Am J Surg. 1996 Feb;171(2):289-92. doi: 10.1016/S0002-9610(97)89571-2.
9
Laparoscopic access to the lesser sac in gastric cancer staging.腹腔镜在胃癌分期中进入网膜囊。
Surg Laparosc Endosc. 1994 Dec;4(6):438-40.
10
The falciform lift: a simple method for retraction of the falciform ligament during laparoscopic cholecystectomy.镰状韧带提拉术：一种在腹腔镜胆囊切除术中牵拉镰状韧带的简单方法。
Surg Endosc. 1990;4(3):186. doi: 10.1007/BF02336603.