MA Li-shuang,ZHANG Yue,LIU Shu-li,et al.Study of laparoscopic operation in treatment of neonatal and infant diaphragmatic defects[J].Journal of Clinical Pediatric Surgery,,12():103-106.[doi:10.3969/j.issn.1671— 6353.2013.02.008]
Study of laparoscopic operation in treatment of neonatal and infant diaphragmatic defects
- Keywords:
- Laparoscopy; Hernia; Diaphragmatic/CN; Infant; Newborn
- Abstract:
- Objetive To investigate the efficacy and superiority of the laparoscopic operation of developmental defect of diaphragm in infants. Methods 38 patients with developmental defect of diaphragm, 4 diaphragmatic hernia,29 hiatus hernia and 5 Diaphragmatic Eventration, underwent laparoscopic repairs of diaphragmatic hernia or hiatus hernia, or plication of diaphragm. Results The procedure was completed laparoscopically in 35 cases and 3 cases were turned to open procedure. The median operating time was 147 min(range 75 to 210). No complication occurred; 38 patients were asymptomatic at last follow-up(range 1 month to 5 years). 4 patients relapsed after surgery; 2 of them were re-operated by laparoscopic repair and no relapse has been observed; while the other two patients, relapsed again after a second operation, 1 case underwent the third laparoscopic repair,and no recurrence was observed in the following year. Conclusions The laparoscopic access to the operation of newborn and infant developmental defect of diaphragm was efficacy and safety.
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