Xu Xiaogang,Zeng Jixiao,Liu Fei,et al.Treatment of secondary intussusception by air enema reduction plus scarless mini-invasive surgery in children[J].Journal of Clinical Pediatric Surgery,,22():254-259.[doi:10.3760/cma.j.cn101785-202109011-010]
Treatment of secondary intussusception by air enema reduction plus scarless mini-invasive surgery in children
- Keywords:
- Intussusception; Enema Therapy; Laparoscope; Colonoscope; Surgical Procedures; Operative; Child
- Abstract:
- Objective To explore the feasibility,safety and prognosis of air enema plus scarless mini-invasive surgery for secondary intussusception in children.Methods From January 2018 to January 2021,clinical data were retrospectively reviewed for 19 children with secondary intussusception undergoing reduction by air enema and scarless mini-invasive surgery (transumbilical single-port laparoscopy or electronic colonoscopy).One group (n=9) caused by colonic polyps were successfully reduced by air enema.There were electronic colonoscopy (n=7) and transumbilical single-port laparoscopy (n=2).The other group (n=10) included secondary small intestine intussusception (n=7) and secondary ileocolic intussusceptions (n=3).After air enema,there were successful reduction (n=5) and marked shortening (n=5).Under an exploration of umbilical single-port laparoscopy,the pathologic lead points were identified and resected.Results Transumbilical single-port laparoscopy (n=12) and electronic colonoscopy (n=7) were performed successfully without any conversion into laparotomy.Postoperative pathologies included colon polyp (n=9),Meckel’s diverticulum (n=6),small intestine polyp (n=2),ileocecal lymphoma (n=1) and ileocecal cyst duplication (n=1).All were cured and discharged.During a follow-up period of (5-36) months,there was no recurrence of intestinal obstruction or intussusceptions.And no visible abdominal surgical scar was noted.Conclusion Air enema reduction plus scarless mini-invasive surgery may be used for children with secondary intussusceptions.It offers the advantages of minimal trauma,quick recovery and perfect cosmetics.
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Memo
收稿日期:2021-9-7。
基金项目:国家自然科学基金(82170528);广东省自然科学基金(2022A1515012254);广州市科技计划市校(院)联合资助项目(202201020612);广州地区临床特色技术项目(2023C-TS48)
通讯作者:曾纪晓,Email:zengjixiao@163.com