Lu Chaoxiang,Li Peng,Li Mingming,et al.Application of transumbilical single-operator-hole laparoscopic pylorotomy for congenital hypertrophic pyloric stenosis[J].Journal of Clinical Pediatric Surgery,,18():216-220.[doi:10.3969/j.issn.1671-6353.2019.03.011]
Application of transumbilical single-operator-hole laparoscopic pylorotomy for congenital hypertrophic pyloric stenosis
- CLC:
- R729;R656.6+3;R616.5
- Abstract:
- Objective To explore the advantages and disadvantages of three surgical procedures in the treatment of congenital hypertrophic pyloric stenosis.Methods Retrospective analysis was performed for 160 children with congenital hypertrophic pyloric stenosis from September 2012 to June 2017.Based upon specific surgical procedures,they were divided into three groups of bellybutton arcuate incision (n=52),traditional hole laparoscopy (n=56) and umbilical laparoscopy (n=52).No difference existed in age,weight,preoperative preparation time,time of onset and gender ratio.The data of operative duration,blood loss,hospitalization stay,adequate postoperative feeding time and incision complications were compared for seeking the optimal surgical procedure(P>0.05).There was no difference in the amount of blood loss among three groups(P>0.05).Results No difference existed in operative duration,postoperative feeding time or hospitalization time between single umbilical hole and traditional two-hole laparoscopy groups.However,incision was more aesthetic and invisible in single umbilical hole group.Conclusion Laparoscopy is less invasive than arcuate umbilical incision.Tranumbilical single-operator-hole laparoscopy may accomplish laparoscopic pyloromyotomy without longer operative duration or more complications.With a more aesthetic incision,it is worthy of wider popularization.
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Memo
收稿日期:2018-11-25。
基金项目:国家自然科学基金青年科学基金项目（编号：81701501）
通讯作者:李鹏,Email:1353379997@qq.com