The first decade's experience with laparoscopic Nissen fundoplication in infants and children
The first decade's experience with laparoscopic Nissen fundoplication in infants and children
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DOI：
10.1016/j.jpedsurg.2004.09.031
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发表时间：
2005-01-01
影响因子：
2.4
通讯作者：
Rothenberg, SS
中科院分区：
文献类型：
--
作者：
Rothenberg, SS
背景/目的：胃底折叠术治疗胃食管反流病是婴儿和儿童的常见手术。本报告描述了超过10年的经验，超过1000连续腹腔镜Nissen fundoplications.Methods：年龄范围从5天到18岁，体重从1.2到120公斤。根据患者体型，使用5套管针技术和5 mm或3 mm手术工具进行手术。结果：平均手术时间从前30例的109分钟大幅下降到后30例的38分钟。术中和术后并发症分别为0.26%和4.0%。胃底折叠术后平均出院时间为1.1天。结论：10年的大手术经验表明，腹腔镜胃底折叠术在儿童中是安全有效的。临床结果与传统的开放胃底折叠术相当，但发病率和住院率显著降低。(C)2005年爱思唯尔公司All rights reserved.
Background/Purpose: Fundoplication for gastroesophageal reflux disease is a common procedure performed in infants and children. This report describes over a 10-year experience with more than 1000 consecutive laparoscopic Nissen fundoplications.Methods: Ages ranged from 5 days to 18 years and weight from 1.2 to 120 kg. The procedures were performed using a 5 trocar technique and with 5- or 3-mm instruments depending on the size of the patient. Of 1050 fundoplications, 1048 were completed successfully through laparoscopy.Results: Average operative time dropped dramatically from 109 minutes for the first 30 cases compared with 38 minutes for the last 30. Intraoperative and postoperative complications were 0.26% and 4.0%, respectively. Average time to discharge post fundoplication was 1.1 days. The wrap failure rate is 4.0%.Conclusions: This study shows in a large operative experience for 10 years that laparoscopic fundoplication is safe and effective in the pediatric population. Clinical results are comparable to the traditional open fundoplication but with a significant decrease in morbidity and hospitalization. (C) 2005 Elsevier Inc. All rights reserved.