关键词: 肠套叠, 儿童, 腹腔镜

Abstract: 【Abstract】〓Objective〓To investigate the feasibility and surgical experience of laparoscopic reduction of pediatric intussusception with two trocars. Methods〓During June 2009 and June 2014, 32 cases of pediatric intussusception with either failing air enema reduction or recurrence of intussusception, underwent laparoscopic reduction of intussusception with two trocars. Of 32 cases, the patients who were successfully reduced by laparoscopic procedure were assigned to A group and those converted to open reduction served as B group. The clinical data were retrospectively analyzed and compared between two groups, including the age, onset time, type of intussusception, length of intussusception bowel, combined lesions. Results〓Twenty-four cases of intussusception were successfully reduced by laparoscopic reduction with two trocars (24/32, 75%), including 2 cases of Meckel’s diverticulum from 3 recurrent cases. Eight cases converted to open reduction by extending the umbilical incision, including 4 cases of ankylenteron caused by intestinal perforation or necrosis, 1 case of incarcerated ileum polypus, and 3 cases of long intussusception bowel. The patients of B group had longer intussusception bowel and higher rate of combined lesions than that of A group, and there were statistical differences between two groups. There were no significant difference between two groups in age and onset time and complications. Conclusion〓Laparoscopic reduction of intussusception with two trocars can be performed first for stable patients either failing air enema reduction or recurrence of intussusception. The length of intussusception bowel and combined lesions may be influence the success rate of laparoscopic reduction.

Key words: Child, Intussusception, Laparoscopy