CAJ | 학술논문

目的探讨应用腹腔镜及超声刀技术行改良Soave术治疗婴幼儿先天性巨结肠的价值.方法 2003年8月-2008年8月,在腹腔镜下应用超声刀对20例确诊为先天性巨结肠患儿行改良Soave术.结果均获成功,无中转开腹,手术时间143～280分,平均手术时间162分,出血5～20ml,随访3月～5年,无并发症发生,排便控制在1～4次/天.结论腹腔镜下应用超声刀行婴幼儿巨结肠根治术具有安全可靠,手术损伤小,出血少,操作简便,术后恢复快,并发症少等优点.
목적 탐토응용복강경급초성도기술행개량Soave술치료영유인선천성거결장적개치.방법 2003년8월-2008년8월,재복강경하응용초성도대20례학진위선천성거결장환인행개량Soave술.결과 균획성공,무중전개복,수술시간143～280분,평균수술시간162분,출혈5～20ml,수방3월～5년,무병발증발생,배편공제재1～4차/천.결론 복강경하응용초성도행영유인거결장근치술구유안전가고,수술손상소,출혈소,조작간편,술후회복쾌,병발증소등우점.
Objective To explore a new minimally invasive operation for Hirschsprung's disease(HD).Methods From Aug 2003 to Aug 2008,20 eases underwent laparoseopic operation using an Ultracision Harmonic Scalpel pull-through for Hirschsprung's disease.Results All patients were operated sucessfully.The average operating time was 162 minutes(ranging from 143 to 280 minutes),The ammount of bleeding during operation was 5～20ml.All patients were followed-up from 3months to 5 years,No postoperativelly complications occurred.The patients had 1-4 times of fecal dieharge per day during follow-up.Conclusions Laparoseopic pull-through procedure using an Ultracision Harmonic Scalpel for Hirschsprung's disease has advantages of safety,minimal invasion,little hemorrhage,simple performane ,quick recovery,and low complication rate.