[1]潘伟康,杨薇粒,郑百俊,等.腹腔镜辅助Ｓｗｅｎｓｏｎｌｉｋｅ巨结肠根治术１０５例[J].临床小儿外科杂志,2018,17(02):112-116.
　Pan Weikang,Yang Weili,Zheng Baijun,et al.The laparoscopicassisted Swensonlike surgical approach for 105 cases with Hirschsprungs disease.[J].Journal of Clinical Pediatric Surgery,2018,17(02):112-116.
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腹腔镜辅助Ｓｗｅｎｓｏｎｌｉｋｅ巨结肠根治术１０５例

《临床小儿外科杂志》[ISSN:1671-6353/CN:43-1380/R] 卷: 第17卷 期数: 2018年02期 页码: 112-116 栏目: 专题讨论 出版日期: 2018-02-28
Title:
The laparoscopicassisted Swensonlike surgical approach for 105 cases with Hirschsprungs disease.
作者:
潘伟康; 杨薇粒; 郑百俊; 等
西安交通大学第二附属医院小儿外科
Author(s):
Pan Weikang; Yang Weili; Zheng Baijun; Duan Yitao; Yu Hui; Cheng Jiwen; Huang Qiang; Gao Ya; Li Peng.
Department of Pediatric Surgery,The Second Affiliated Hospital of Xian Jiaotong University,Xi an,710004,China.
关键词:
先天性巨结肠症; 腹腔镜; Ｓｗｅｎｓｏｎ术; Ｄｕｈａｍｅｌ术; Ｓｏａｖｅ术
Keywords:
Hirschsprungs disease;  Laparoscopy;  Swenson;  Duhamel;  Soave
文献标志码:
A
摘要:
目的　总结腹腔镜辅助Ｓｗｅｎｓｏｎｌｉｋｅ巨结肠根治术的疗效、并发症及操作经验。　方法　
回顾性分析本院２０１０年３月至２０１６年３月采用腹腔镜辅助Ｓｗｅｎｓｏｎｌｉｋｅ巨结肠根治术治疗的１０５例
先天性巨结肠患儿发生临床资料，分析其并发症发生率，总结操作经验。　结果　所有患儿在腹腔镜辅
助下完成手术，无一例中转开腹手术。手术时间８５～２０５ｍｉｎ，平均（１１５±１８）ｍｉｎ。平均切除肠管２０～
６５ｃｍ，平均（３５±１５）ｃｍ。无盆腔脓肿及吻合口狭窄发生，吻合口瘘２例。所有患儿均能自主排尿和排
便，无尿潴留，术后６个月内有１２例发生小肠结肠炎（１１．４％）。８６例男性患儿中８０例（９３．９％）观察
到阴茎自主勃起，８例（７．６％）出现便秘。　结论　腹腔镜辅助Ｓｗｅｎｓｏｎｌｉｋｅ巨结肠根治术效果良好，
术后有较好的控便和排尿功能，可以避免Ｓｏａｖｅ肌鞘和Ｄｕｈａｍｅｌ闸门所致相关并发症。
Abstract:
ObjectiveTo sum up the therapeutic benefits,postoperative complications and experience of laparoscopicassisted Swensonlike approach for Hirschsprung’s disease.MethodsWe retrospectively analyzed our clinical data of 105 Hirschsprungs disease patients who had undergone laparoscopicassisted Swensonlike approach from March 2010 to March 2016,and assessed postoperative complications and operative techniques.ResultsAll patients were successfully treated by laparoscopicassisted approach without converting to laparotomy. The operation time of the cases averaged 115±18min (85~205 min) and the average length of resection was 35±15cm (20~65 cm). All patients (100%) had selfdefecation and automatic micturition function. In the postoperative 6 months,12 patients had enterocotis (11.4%) and 8 patients had constipation (7.6%).Of 86 male cases,the patients in 80 of them (9.9%) reported the occurrence of penile erection after the operations.ConclusionLaparoscopicassisted Swensonlike approach is an excellent technique for Hirschsprungs disease,offers excellent longterm outcomes for micturition and defecation function. Also,reduce the related complications caused by Soave Muscle sheath Duhamel pouch.

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