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目的探讨腹腔镜技术辅助下治疗小儿先天性巨结肠症的手术方式,并评价其临床疗效。方法行腹腔镜辅助下治疗小儿先天性巨结肠3例(改良Soave′s法),并结合近几年来中外作者的临床资料评价其临床疗效。结果腹腔镜辅助下顺利完成先天性巨结肠根治术,无1例中转开腹手术,等同于开放手术效果,未出现并发症。结论腹腔镜辅助下行小儿先天性巨结肠根治术可行,具有直观、创伤小,在分离盆底直肠方面优于开放手术,恢复快、疗效好等优点。
Objective To investigate the surgical treatment of children with Hirschsprung’s disease assisted by laparoscopy and to evaluate its clinical efficacy. Methods Three cases of pediatric Hirschsprung ’s disease were treated with laparoscopy assisted therapy (modified Soave’ s method), and the clinical data of both Chinese and foreign authors in recent years were evaluated. Results Laparoscopic assisted the successful completion of Hirschsprung’s disease, no one case of laparotomy, equivalent to the effect of open surgery, no complications. Conclusion Laparoscopic assisted pediatric Hirschsprung radical surgery is feasible, with intuitive, less traumatic, superior to open surgery in the separation of pelvic floor rectal, fast recovery, good effect and so on.