·临床论著·经脐单部位腹腔镜、传统腹腔镜及开腹手术治疗肠重复畸形的疗效比较陈远会,伍美,王朝龙,刘锋,贺新建,陈盼,鲁金鹏,牛会忠河北省儿童医院普外一科,石家庄050031【摘要】目的比较经脐单部位腹腔镜、传统腹腔镜及开腹手术治疗先天性肠重复畸形的临床效果。方法采用回顾性研究,将河北省儿童医院普外一科2013年3月至2021年3月收治的35例肠重复畸形患儿按手术方式分为三组,其中单部位腹腔镜组10例,传统腹腔镜组15例,开腹组10例。比较三组患儿的围手术期指标及临床疗效。结果本研究中35例患儿均顺利手术,除开腹组有1例出现术后吻合口瘘外,均未发生术中或术后并发症。三组手术时间比较无显著性差异(P>0.05)。单部位腹腔镜组的术后住院时间、开始流食时间、腹腔引流管拔管时间及术后首次排便时间均短于开腹组(P<0.05),但与传统腹腔镜组比较无显著性差异(P>0.05)。单部位腹腔镜组术中出血量少于传统腹腔镜组及开腹组(P<0.05),住院费用低于传统腹腔镜组(P<0.05)。单部位腹腔镜组术后仅留脐部疤痕,美观度更好,且手术需要Trocar更少,相应手术耗材也减少。术后随访4~12个月(中位时间8个月),行腹部B超检查均未见复发,患儿进食、排便情况好,生长发育良好。结论腹腔镜手术治疗肠重复畸形较开腹手术创伤小,治疗效果好,伤口外形美观;而单部位腹腔镜手术切口少,美观度较传统腹腔镜手术更好,且住院费用低,值得临床推广应用。【关键词】肠重复畸形;单部位腹腔镜;儿童Acomparativestudyonthetreatmentofintestinalduplicationwithtransumbilicallaparoscopicsinglesitesurgery,traditionallaparoscopyandlaparotomyCHENYuanhui,WUMei,WANGChaolong,LIUFeng,HEXinjian,CHENPan,LUJinpeng,NIUHuizhongTheFirstDepartmentofGeneralSurgery,HebeiChildren'sHospital,Shijiazhuang050031,Hebei,ChinaCorrespondingauthor:NIUHuizhong,Email:nrlnhz@163.com【Abstract】ObjectiveTocomparetheclinicaleffectsoflaparoscopicsinglesitesurgery,traditionallaparoscopicsurgery,andlaparotomyforcongenitalintestinalduplication.MethodsAretrospectivestudywascarriedoutin35childrenwithintestinalduplicationadmittedtotheFirstDepartmentofGeneralSurgeryofHebeiChildren'sHospitalfromMarch2013toMarch2021.Theyweredividedintothreegroupsaccordingtosurgicalmethods,including10casesinthesinglesitelaparoscopygroup,15casesinthetraditionallaparosco-pygroup,a...
