Abstract:

【Abstract】〓Objective〓To investigate the effect on open surgery and laparoscopic surgery in the treatment of children with congenital intestinal malrotation. Methods〓The data of surgical treatment of congenital intestinal malrotation were studied, including 68 cases of open surgery and 30 cases of laparoscopic surgery from 2012 to 2014. The operation time, postoperative feeding time and complications were comparatively analyzed between two groups. Results〓The operative time in the open surgery group was shorter than that in laparoscopic group. The time to starting feeds, and amount of time to attain full feeding in the laparoscopic group, were significantly less than that in open surgery group. The postoperative complications occurred in 8 eases in open surgery, and 4 cases in laparoscopic surgery, which was not significantly different. Conclusion〓Laparoscopic Ladd's surgery can be performed safely and early start feeds with no increase in complications.

Key words: Laparoscopy, Congenital intestinal malrotation, Children, Ladd's procedure

摘要：

【摘要】〓目的〓比较开腹手术和腹腔镜手术治疗小儿肠旋转不良的治疗效果。方法〓收集2012年至2014年的肠旋转不良患儿资料,传统开腹手术68例,腹腔镜手术30例,分别比较两组间的手术时间、术后进食时间和术后并发症等的差别。结果〓开腹手术时间较腹腔镜手术时间短,但术后开始进食时间及全量进食时间较腹腔镜手术组的时间长,两组之间比较有统计学意义;开腹手术术后并发症8例,腹腔镜手术术后并发症4例,两组间比较无统计学意义。结论〓腹腔镜Ladd?蒺s手术术后肠功能恢复快,可早期恢复进食,术后并发症无增加,用于治疗小儿肠旋转不良是安全而有效的。

关键词: 腹腔镜, 肠旋转不良, 小儿, Ladd's手术