Zhou Xiaobing,Li Bingxin,Chen Aijun,et al.Role of three dimensional laparoscopy in the treatment of pediatric appendicural abscess[J].Journal of Clinical Pediatric Surgery,,19():437-440.[doi:10.3969/j.issn.1671-6353.2020.05.012]
Role of three dimensional laparoscopy in the treatment of pediatric appendicural abscess
- Keywords:
- Appendix/SU; Abscess; Laparoscopy; Child
- CLC:
- R726.1;R574.61
- Abstract:
- Objective To explore the clinical experience of three-dimensional (3D) laparoscopy in treatment of pediatric appendicural abscess.Methods A total of 26 cases of pediatric appendicural abscess underwent laparoscopy from January 2013 to August 2016.Three-Trocar technique was employed.Pus cavity was isolated and appendix located.Ultrasonic knife was used for dissecting appendiceal mesangium.After double ligating,appendiceal root was removed and a drainage tube implanted into right pelvis after local washing.Results Laparoscopic appendectomy was performed successfully in all 26 cases.No open laparotomy was required.The intraoperative blood loss was (15.5±3.1) ml; The operative duration (45.6±7.8) min; The postoperative hospitalization (7.8±1.6) days.There were mild incision infection (n=1),peritoneal inflammatory mass (n=2) and intestinal obstruction (n=1).All complications were cured by non-operative measures.During a median follow-up period of 14(2-24) months,there was no occurrence of such complications as adhesive intestinal obstruction or malnutrition.Conclusion For pediatric appendicural abscess,3D laparoscopy is much safer by offering a more distinct visual field and a greater spatial sense.
References:
1 张浩,周鸿鲲,俞清江,等.小儿阑尾脓肿的治疗策略[J].中国微创外科杂志,2013,13(5):418-419. DOI:10.3969/j.issn.1009.6604.2013.05.012. Zhang H,Zhou HK,Yu QJ,et al.Treatment strategy of children with appendiceal abscess[J].Chin J Min Inv Surg,2013,13(5):418-419.DOI:10.3969/j.issn.1009.6604.2013.05.012.
2 马立东,李春雷,周福金,等.腹腔镜一期手术治疗小儿阑尾周围脓肿[J].临床小儿外科杂志,2013,12(3):335-337.DOI:10.3969/j.issn.1671-6353.2013.03.008. Ma LD,Li CL,Zhou FJ,et al.Clinic analyses of pediatric periappendiceal abscess with primary therapeutic laparoscopy[J].J Clin Pedsur,2013,12(3):335-337.DOI:10.3969/j.issn.1671-6353.2013.03.008.
3 Buckius MT,McGrath B,Monk J,et al.Changing epidemiology of acute appendicitis in the United States:study period 1993-2008[J].J Surg Res,2012,175(2):185-190.DOI:10.1016/j.jss.2011.07.017.
4 Vanden Boom AL,Gorter RR,van Haard PM,et al.The impact of disease severity,age and surgical approach on the outcome of acute appendicitis in children[J].Pediatr Surg Int,2015,31(4):339-345.DOI:10.1007/s00383-015-3677-0.
5 曲媛,刘丹,梁星池,等.儿童复杂性阑尾炎不同治疗方式的临床研究[J].临床小儿外科杂志,2017,16(1):47-53.DOI:10.3939/j.issn.1671-6353.2017.01.012. Qu Y,Liu D,Liang XC,et al.Different treatment outcomes for children with complicated appendicitis[J].J Clin Ped Sur,2017,16(1):47-53.DOI:10.3939/j.issn.1671-6353.2017.01.012.
6 Simillis C,Symeonides P,Shorthouse AJ,et al.A meta-analysis comparing conservative treatment versus acute appendectomy for complicated appendicitis (abscess or phlegmon)[J].Surgery,2010,147:818-829.DOI:10.1016/j.surg.2009.11.013.
7 Wei HB,Huang JL,Zheng ZH,et al.Laparoscopic versus open appendectomy:a prospective randomized comparison[J].Surg Endosc,2010,24(2):266-269.DOI:10.1007/s00464-009-0563-7.
8 张宏武,贾钧,高阳旭,等.小儿阑尾周围脓肿61例临床分析[J].临床小儿外科杂志,2012,11(5):191-193.DOI:10.3969/j.issn.1671-6353.2012.05.005. Zhang HW,Jia J,Gao YX,et al.Clinical analyses of appendicural abscess:a report of 61 cases[J].J Clin Ped Sur,2012,11(5):191-193.DOI:10.3969/j.issn.1671-6353.2012.05.005.
9 Stewart CL,Wood CL,Bealer JF.Characterization of acute appendicitis in diabetic children[J].JPediatr Surg,2014,49(12):1719-1722.DOI:10.1016/j.jpedsurg.2014.09.003.
10 Miyamoto R,Tadano S,Sano N,et al.The impact of three-dimensional reconstruction on laparoscopic-assisted surgery for right-sided colon cancer[J].Wideochir Inne Tech Maloinwazyjne,2017,12(3):251-256.DOI:10.5114/wiitm.2017.67996.
11 Buia A,Stockhausen F,Filmann N,et al.2D vs.3D imaging in laparoscopic surgery-results of a prospective randomized trial[J].Langenbecks Arch Surg,2017.DOI:10.1007/s00423-017-1629-y.
12 Zeng QM,Lei F,Gao ZY,et al.Case-matched study of short-term effects of 3D vs 2D laparoscopic radical resection of rectal cancer[J].World J Surg Oncol,2017,15(1):178.DOI:10.1186/s12957-017-1247-8.
13 Vila?a J,Pinto JP,Fernandes S,et al.comparative study of 2d and 3d optical imaging systems:laparoendoscopic single-site surgery in an ex vivo model[J].Surg Innov,2017:1553350617728160.DOI:10.1177/1553350617728160.
14 Komaei I,Navarra G,Currò G.et al.three-dimensional versus two-dimensional laparoscopic cholecystectomy:a systematic review[J].J Laparoendosc Adv Surg Tech A,2017,27(8):790-794.DOI:10.1089/lap.2017.0155.
15 S?rensen SMD,Konge L,Bjerrum F.3D vision accelerates laparoscopic proficiency and skills are transferable to 2D conditions:a randomized trial[J].Am J Surg,2017,214(1):63-68.DOI:10.1016/j.amjsurg.2017.03.001.
Memo
收稿日期:2018-08-27。
通讯作者:郭兆坤,Email:Guozhaokun0824@163.com