ZHU Lin-lin,LV Zhi-bao,CHEN Gong,et al.Laparoscopic-assisted full-thickness anterior abdominal wall repair of Morgagni hernia in children.[J].Journal of Clinical Pediatric Surgery,2010,9(03):0.
腹腔镜下U型缝合膈肌缺损治疗儿童先天性胸骨后疝
- Title:
- Laparoscopic-assisted full-thickness anterior abdominal wall repair of Morgagni hernia in children.
- Keywords:
- Hernia; Diaphragmatic/CN; Hernia; Diaphragmatic/SU; Laparoscopes; Child
- 摘要:
- 目的 报告1例腹腔镜下U形缝合腹前壁修补胸骨后疝,并对目前腹腔镜修补儿童胸骨后疝的常用手术方式、疗效、复发率等进行讨论。方法 男性患儿,8个月,因出生后反复肺部感染来院就诊,胸片及CT检查提示下胸腔多发囊状透亮影,消化道钡餐显示胸骨后疝。腹腔镜下U型缝合膈肌缺损后缘、疝囊底及腹前壁,将疝完全关闭。结果 手术时间为45 min,术后1 d 进食,患儿恢复良好,无术中、术后并发症。随访3个月无复发。 结论 腹腔镜下U形缝合膈肌缺损后缘、疝囊底及腹前壁全层,治疗儿童胸骨后疝简单,有效,有一定的安全性。
- Abstract:
- Objective Morgagni hernia is a rare entity that accounts for less than 6% of all surgically treated diaphragmatic hernias in pediatric age group. Herein, we report the first experience of China to date assessing the safety and efficacy of laparoscopic-as
参考文献/References:
1 Contini S,Dalla Valle R,Bonati L,et al.Laparoscopic repair of Morgagni repair.Report of the case and review of the literature[J]. J Laparoendosc Adv Surg Techn,1999,9:93-99.
2 Lima M, Domini M, Libri M, et al. Laparoscopic repair of Morgagni-Larrey hernia in child[J]. J Pediatr Surg ,2000,35:1266-1268.
3 Arca MJ, Barnhart DC, Lelli JL Jr, et al. Early experience with minimally invasive repair of congenital diaphragmatic hernias: results and lessons learned[J].J Pediatr Surg,2003,38:1563-1568.
4 Sanjeev D,Craigt. Albanese.Use of a Prosthetic Patch for Laparoscopic Repair of Morgagni Diaphragmatic Hernia in Children[J].Journal Of Laparoendoscopic & Advanced Surgical Techniques 2007,17:391-394.
5 Azzie G, Maoate K, Beasley S, et al. A simple technique of Laparoscopic full-thickness anterior abdominal wall repair of retrosternal (Morgagni) hernias[J].J Pediatr Surg,2003,38:768-70.
6 Georgacopulo P,Franchella A,Mandrioli G,et al.Morgagni-Larrey hernia correlated by laparoscopic surgery[J]. Eur J Pediatr Surg,1997,7:241-242.
7 Becmeur F, Philippe P, Vander Zee D, et al. Laparoscopic surgery of Morgagni-Larrey hernias: a multicenter study of Groupe d' Etude en Coeliochirurgie Infantile[J]. Peditrar Endosurg Innovat Tech,2003,7:147-152.
8 Mohammad Saquib Mallick, Aayed Alqahtani.Laparoscopic-assisted repair of Morgagni hernia in children[J].Journal of Pediatric Surgery,2009, 44:1621-1624.
9 Fernandez Cebrian JM, Oteyza JP. Laparoscopic repair of hernia of foramen of Morgagni: a new case report of hernia of foramen of Morgagni: a new case report[J]. J Laparoendosc Surg,1996,6:61-64.
10 Rau HG, Schardey HM, Lange V. Laparoscopic repair of a Morgagni hernia[J]. Surg Endosc, 1994,8:1439-1442.
11 Mevlit Korkmaz,B. Haluk Guvenc,et al.Minimal Access Surgical Repair of Morgagni Hernia: The Fate of the Unresected Hernia Sac.Journal Of Laparoendoscopic & Advanced Surgical Techniques,2007,17:833-836.
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备注/Memo
作者单位:湖南省儿童医院胸心外科(长沙市,410007)