Zhang Yanbing,Zhang Tian,Gao Hongqiang,et al.Comparative analysis of three-dimensional versus two-dimensional laparoscopy for pediatric hiatal hernia[J].Journal of Clinical Pediatric Surgery,,19():847-850.[doi:10.3969/j.issn.1671-6353.2020.09.017]
Comparative analysis of three-dimensional versus two-dimensional laparoscopy for pediatric hiatal hernia
- Keywords:
- Hernia; Hiatal/SU; Laparoscopy; Fundoplication; Child
- CLC:
- R729;R655.4
- Abstract:
- Objective To compare the efficacies of three-dimensional (3D) versus two-dimensional (2D) laparoscopy for children with esophageal hiatal hernia and fundoplication. Methods A total of 38 children undergoing laparoscopic esophageal hiatal hernia repair and/or fundoplication were selected from January 2016 to June 2019.Based upon different types of endoscopes,they were divided into 3D group (n=17) and 2D group (n=21).Total operative duration,intraoperative blood loss and postoperative follow-ups (including postoperative complications of vomiting,dysphagia,pneumothorax,abdominal infection and mediastinal infection) were recorded.During a follow-up period of 12 months,postoperative complications and recurrent status were analyzed. Results All operations were successfully performed and discharged without serious perioperative complications.Total operative duration of 3D group was significantly shorter than that of 2D group[(82.4±17.7) vs.(105.1±20.4) min,P=0.031] and average intraoperative blood loss was less[(11.6±8.2) vs.(18.2±6.5) mL,P=0.043].And average postoperative hospital stay or postoperative complication rate showed no significant difference (P>0.05). Conclusion Esophageal hiatal hernia repair and fundoplication may be safely performed for children under 3D laparoscopy.As compared with 2D laparoscopy,3D laparoscopy offers a more distinct operative field and it may effectively shorten operative duration and reduce the volume of intraoperative bleeding.
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Memo
收稿日期:2019-09-20。
基金项目:湖南省出生缺陷协同防治科技重大专项（编号：2019SK1010）
通讯作者:尹强,Email:qiangyin@hotmail.com