论文部分内容阅读
目的总结使用腹腔镜治疗新生儿、婴儿先天性肥厚性幽门环肌狭窄及先天性巨结肠的经验。方法20例患儿年龄16～120d,体重2.7～8kg。先天性肥厚性幽门狭窄和先天性巨结肠各10例。在气管插管加单次骶管阻滞麻醉下,建立CO2气腹,注气压力为1.6～1.9kPa,流量为3L/min。置入腹腔镜,并根据不同的病种在不同的部位置入操作钳,完成幽门环肌切开术和辅助巨结肠根治术。结果手术时间为25～150min,术后3～7d出院。均无并发症发生。结论腹腔镜技术在新生儿、婴儿应用安全可靠,手术打击小。
Objective To summarize the experience of laparoscopic treatment of congenital hypertrophic pyloric stenosis and congenital megacolon in neonates and infants. Methods Twenty children aged 16-120 days with a body weight of 2.7-8 kg were enrolled. Congenital hypertrophic pyloric stenosis and Hirschsprung’s disease in 10 cases. In the endotracheal intubation plus a single caudal block anesthesia, the establishment of CO2 pneumoperitoneum, injection pressure of 1.6 ~ 1.9kPa, flow rate of 3L / min. Into laparoscopy, and according to different types of diseases in different parts of the operating forceps, complete pyloric myringomyotomy and assisted radical mastectomy. Results The operation time was 25 to 150 minutes and was discharged from 3 to 7 days after operation. No complications occurred. Conclusions Laparoscopy is safe and reliable in neonates and infants, and has a small surgical impact.