腹腔镜手术切除六例小儿脐尿管囊肿的临床报告

更新时间:2023-07-22 02:37:58 阅读: 评论:0

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中华腔镜泌尿外科杂志(电子版)2019年10月第13卷第5期 Chin J Endourol (Electronic Edition), October  2019, Vol. 13, No. 5病例研究
昨的组词【摘要】 目的 探讨腹腔镜治疗小儿脐尿管囊肿的时机、方法和效果。方法 回顾性分析自2014年10月至2017年10月在中山大学附属第一医院和深圳市儿童医院小儿外科收治的6例经腹腔镜治疗的小儿脐尿管囊肿临床资料。女2例,男4例,平均年龄5岁1个月。术前均经超声和CT 确定诊断,脐尿管囊肿大小为1.1~3.0 cm ,4例位置近膀胱,2例在脐尿管的中间位。3例无症状的择期手术,3例有症状的在感染控制后择期手术,全部6例均采用脐部和平脐两侧腹壁进三个曲卡的方法,进行了腹腔镜脐尿管囊肿切除术。结果 本组患儿手术全部顺利完成,术中囊肿均完整无破 溃,手术时间45~80 min ,平均60 min 。术中和术后无并发症。病理均符合诊断。随访6~43个月,6例患儿均恢复顺利,腹部切口瘢痕不明显,患儿家属满意。结论 小儿脐尿管囊肿腹腔镜下可完整切除,手术安全、有效、恢复快速,外观良好。
【关键词】  脐尿管囊肿; 腹腔镜; 儿童
DOI : 10.3877/cma.j.issn.1674-3253.2019.05.017
作者单位: 510080  广州,中山大学附属第一医院小儿外科1;518038  深圳市儿童医院小儿外科2
影子的变化规律蒲公英的梦想
月底结账
通信作者: 高鹏飞,Email :gaofei. 腹腔镜手术切除六例小儿脐尿管
囊肿的临床报告六年级学生
孙俊杰1,2 高鹏飞1 谢起根1 钟志海1 陈华东1
Clinical analysis of laparoscopic urachal cystectomy in 6 children Sun Junjie 1,2, Gao Pengfei 1,  Xie Qigen 1, Zhong Zhihai 1, Chen Huadong 1. 1Department of Pediatric Surgery, the First Affiliated Hospital of Sun Yat-n University, Guangzhou 510080, China; 2Department of Pediatric Surgery, Shenzhen Children's Hospital, Shenzhen 518038, China
营养减肥餐
Corresponding author: Gao Pengfei, Email: gaofei.
【Abstract 】 Objective  To investigate the time, method and effect of laparoscopic treatment for urachal cyst in children.  Methods    A retrospective analysis was performed by collecting clinical data of 6 patients who were treated by laparoscopic excision of urachal cyst from October 2014 to October 2017 at the Department of Pediatric Surgery in the First Affiliated Hospital of Sun Yat-Sen University and Shenzhen Children’s Hospital. Two girls and four boys, with an average age of 5 years and 1 month. Preoperative diagnos were confirmed by ultrasound and computed tomograph文章体
y (CT). The size of urachal cysts was 1.1-3.0 cm; 4 cysts were near the bladder, and 2 cas were in the middle position of the urachus. 3 asymptomatic patients underwent elective surgery, while 3 symptomatic patients underwent elective surgery after infection controlled. All 6 cas underwent laparoscopic urachal cystectomy by approach of three trocars which were placed in the umbilicus and two sides of umbilical plane.  Results  All children completed surgery successfully. The cysts were all intact without rupture during operation. The operation time was 45-80 minutes, with an average of 60 minutes. There were no intraoperative or postoperative complications. The pathological findings were accord with the diagnosis of urachal cyst. During the follow-up period of 6-43 months, all the 6 children recovered smoothly, the abdominal incision scars were not obvious, and the parents were satisfied with the cosmetic results.  Conclusions  Laparoscopic rection for the treatment of children with urachal cyst is safe and effective, and has rapid recovery and cosmetic result.
【Key words 】  Urachal cyst; Laparoscopy; Children

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标签:小儿   脐尿管   囊肿   腹腔镜   手术   方法   患儿
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