切割闭合器在小儿消化道手术中的应用
- 文献标志码:
- A
- 摘要:
- ?目的 探讨直线切割闭合器在小儿消化道手术中应用的有效性、安全性及可行性。 方法 ２０１２年５月至２０１６年７月间本院使用直线切割闭合器实施消化道手术共３３２例，其中２５１例胆道闭锁和胆总管囊肿患儿行三角吻合术（胆道闭锁２１７例，胆总管囊肿３４例），５２例行肠造瘘术，２１例各种血液病伴脾肿大患儿行脾切除术，１例脾脓肿行脾及胰尾切除术，４例回肠美克尔憩室行憩室切除术， ２例幽门瘢痕狭窄行胃空肠吻合术，１例食管下端狭窄行狭窄段切除＋食管胃吻合术。３３２例中，实施腹腔镜手术１１４例，传统开放手术２１８例。 结果 除初期使用切割闭合器实施胆道闭锁手术的患儿发生吻合口瘘２例，吻合口狭窄１例，早期粘连性肠梗阻１例以外，其余患儿随访１个月至４年，无一例闭合器相关并发症发生。 结论 使用切割闭合器进行儿童消化道手术简便，安全，有效，值得临床推广应用。
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