胸腔镜下手术治疗婴幼儿胸腹裂孔疝29例
王贤书,杨志国,岳 芳,陈志国,高飞飞,杨 帆,赵 令

河北省儿童医院胸外科(河北省石家庄市,050031),E-mail:sjwk99@sohu.com

胸腔镜检查; 疝,横膈/先天性; 再手术; 婴儿

Efficacies of video-assisted thoracoscopic repair of 29 infants with pleuroperitoneal hiatus hernia.
Wang Xianshu, Yang Zhiguo, Yue Fang, Chen Zhigao, Gao Feifei, Yang Fan, Zhao Ling.

Department of Thoracic Surgery, Hebei Provincial Children's Hospital, Shijiazhuang 050031, China,Corresponding author: Wang Xianshu, E-mail: sjwk99@sohu.com

Thoracoscopy; Hernia,Diaphragmatic/CN; Reoperation; Infant

DOI: 10.3969/j.issn.1671-6353.2017.01.009

备注

目的 总结全胸腔镜下婴幼儿胸腹裂孔疝修补手术的临床疗效。 方法 回顾性分析2014年6月至2016年6月作者收治的29例先天性胸腹裂孔膈疝患儿临床资料,除2例中转开胸手术外,其余病例均于全胸腔镜下完成手术。。 结果 29例均痊愈出院,随访1～2年,28例生长发育良好; 1例复发,经再次开胸完成手术获痊愈。。 结论 全胸腔镜下手术治疗婴幼儿胸腹裂孔疝,术中出血少,术后恢复快,切口瘢痕小,方法安全可行。
Objective To explore the efficacies of video-assisted thoracoscopic repair of infantile pleuroperitoneal hiatus hernia. Methods A total of 29 cases of infantile pleuroperitoneal hiatus hernia undergoing video-assisted thoracoscopic repair from June 2014 to June 2016 were retrospectively analyzed. Two case was converted into thoracotomy and the remainder underwent thorough video-assisted thoracoscopy. Results All cases were cured and discharged. During a follow-up period of 1～2 years, 28 cases had an excellent rehabilitation and 1 recurrent was re-operated thoracotomically. Conclusion s With the advantages of less bleeding, faster recovery and smaller scar, video-assisted thoracoscopic repair of infantile pleuroperitoneal hiatus hernia is both safe and feasible.