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目的探讨腹腔镜辅助Soave术治疗先天性巨结肠的疗效并总结经验。方法 2005年5月至2011年12月为32例先天性巨结肠患者行腹腔镜下辅助Soave术。结果全部患者手术成功。平均手术时间130 min,术中出血30～50 ml,切除肠管长度15～35 cm,平均28 cm。术中术后无严重并发症,仅1例出现肛门湿疹,经保守治疗后痊愈。所有患者随诊1年情况良好。结论腹腔镜辅助Soave术治疗先天性巨结肠具有创伤小、术后恢复快、术后并发症少的优点,值得推广应用。
Objective To investigate the efficacy and experience of laparoscopic assisted Soave in the treatment of Hirschsprung’s disease. Methods From May 2005 to December 2011, 32 patients with Hirschsprung’s disease underwent laparoscopic assisted Soave surgery. Results All patients were successfully operated. The average operation time was 130 min, the intraoperative bleeding was 30-50 ml, the length of excision intestine was 15-35 cm with an average of 28 cm. No serious postoperative complications, only 1 case of anal eczema, conservative treatment after recovery. All patients were followed up for 1 year in good condition. Conclusions Laparoscopy-assisted Soave for the treatment of Hirschsprung’s disease has the advantages of less trauma, faster postoperative recovery and fewer postoperative complications, which is worth popularizing.