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目的 探讨新生儿腹腔镜手术的特点。方法 分析33例新生儿腹腔镜手术的方法和围手术期情况,其中探察性手术14例,治疗性手术19例。6例手术中借助腹壁牵引线技术,3例胆道造影采用免气腹腹腔镜。结果 无围手术期死亡及伤口感染,4例术后合并呼吸道感染。探察性手术14例均在镜下明确诊断,治疗性手术19例无中转开腹,1例术中损伤幽门粘膜。结论 新生儿期实施腹腔镜手术安全可行,良好的显露是手术成功的保证。
Objective To investigate the characteristics of neonatal laparoscopic surgery. Methods 33 cases of neonatal laparoscopic surgery methods and perioperative conditions, including 14 cases of exploratory surgery, 19 cases of surgical treatment. 6 cases of surgery with abdominal traction technology, 3 cases of cholangiography with airless laparoscopic. Results No perioperative death and wound infection, 4 patients with postoperative respiratory infection. In the 14 cases of exploratory surgery, all cases were diagnosed under the microscope. There were 19 cases without any conversion to laparotomy and 1 case with pyloric mucosa injury. Conclusions Laparoscopic surgery in neonatal period is safe and feasible. A good indication is the guarantee of successful operation.