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作者单位

¹山东大学齐鲁医院小儿外科, 济南 25001 ²山东第一医科大学附属省立医院心内科, 济南 25002

刊名

Journal of Clinical Pediatric Surgery

年份

2024

卷号

Vol.23 No.5

页码

421-425

ISSN

1671-6353

关键词

Child Complications Hirschsprung Disease Laparoscopy Surgical Procedures Operative 儿童 先天性巨结肠 外科手术 并发症 腹腔镜 Child Complications Hirschsprung Disease Laparoscopy Surgical Procedures Operative

摘要

Objective To conduct a preliminary study of clinical experience of laparoscopic-assisted versus transanal Soave alone for common type of congenital megacolon aged from 0 to 4 years. Methods For this retrospective study, 128 HSCR children operated from January 2011 to December 2022 with complete data were included. According to surgical approach and age, they were assigned into four groups of laparoscopic-assisted transanal Soave 0~2 years , laparoscopic-assisted transanal Soave 2~4 years , simp...更多

Objective To conduct a preliminary study of clinical experience of laparoscopic-assisted versus transanal Soave alone for common type of congenital megacolon aged from 0 to 4 years. Methods For this retrospective study, 128 HSCR children operated from January 2011 to December 2022 with complete data were included. According to surgical approach and age, they were assigned into four groups of laparoscopic-assisted transanal Soave 0~2 years , laparoscopic-assisted transanal Soave 2~4 years , simple transanal Soave 0~2 years and simple transanal Soave 2-4 years . General profiles, surgery-related parameters, postoperative hospitalization complications and follow-up complications were compared. Results Comparing groups A and C, no statistically significant difference existed in gender, age, weight, intraoperative hemorrhage, postoperative hospitalization time, time to resume eating/drinking, postoperative hospitalization complications or follow-up complications . Орeration duration in groups A and C was and min, anal operative duration and min and length of resected diseased intestinal tubes and cm respectively. The differences were statistically significant . Anal operation time in groups B and D was and min, postoperative hospitalization time and day, length of resected diseased intestinal tubes and cm, postoperative hospitalization complication rates 0 and 16.0% and follow-up complication rate 21.4% and 48.0% respectively. The differences were statistically significant . Conclusions For HSCR children aged 0-2 years, no significant difference exists in complication rate between laparoscopic-assisted and transanal Soave alone. Laparoscopic-assisted transanal Soave is preferred if there is difficulty in dragging out intestinal tube or difficulty in liberating it. For HSCR children aged 2~4 years, complication rate of transanal surgery alone is higher than that of laparoscopy so that laparoscopy is recommended.收起

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