经脐入路——一种美观与微创的儿童腹部手术径路
腹部·脐·外科手术·儿童,,腹部·脐·外科手术·儿童,1MATERIALSANDMETHODS,2RESULTS,REFERENCES
【摘要】目的：探讨婴幼儿腹部手术经脐入路这一微创方法的可行性与实用性。方法：沿肚脐右侧环形皱襞作半环形切开，最大不超过270，经腹直肌或中线剪开腹膜，拖出病变或在切口处直视下进行手术操作，可吸收线皮内缝合脐部切口。结果：2001年1月~2005年1月，57例患儿经脐行58项手术，手术时间20~170min，无1例需扩大皮肤切口或转为传统开腹术。除术后1例小肠闭锁新生儿出现吻合口瘘，无其他并发症。术后5~7d愈痊出院，随访3月~4年，切口美观，无脐疝发生。结论：婴幼儿腹部手术经脐入路安全、简便、微创、美观、实用，适用于多种腹部疾病，在其它手术范围年龄及其他系统疾病都有很好的应用前景。【关键词】腹部·脐·外科手术·儿童
From January 2001 to January 2005,we have used the transumbilical route for laparotomy in pediatric patients.This less invasive navel approach for laparotomy has shown to be useful as well as cosmetically satisfying.We suggest that the transumbilical route is the optimal option for laparotomy in pediatric patients.
1 MATERIALS AND METHODS
1.1 Materials From January 2001 to January 2005,58 surgical procedures via transumbilical route have been performed in 57 pediatric patients.Of those,36 patients were newborns (328 days old).Of those patients(n=8)had intestinal atresia,intestinal stricture(n=5),and hypertrophic pyloric stenosis (n=23).Fourteen patients were infants (1 to 12 months old)presenting with intussusception(n=4),intestinal duplication(n=5),vitelline cyst(n=3),and appendicitis (n=1).The remaining 7 patients were toddlers (13 to 37 months old ) presenting with appendicitis(n=4) and other diseases(n=3). ......
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