• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Surgical Endoscopy >Safety of laparoscopic fundoplication in children under 5 kg: a comparative study
【24h】

Safety of laparoscopic fundoplication in children under 5 kg: a comparative study

机译：5公斤以下儿童腹腔镜技术安全性：比较研究

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background Laparoscopic fundoplication in children under 5?kg is still debated. Our objective was to evaluate the safety and efficacy of laparoscopic fundoplication (LF) in children under 5?kg. Methods We reviewed the cases of 96 children treated by laparoscopic fundoplication between 2005 and 2014. Thirty-five patients had a weight of 5?kg or less at the time of LF (Low Weight Group) and 61 patients had a weight between 5.1 and 10?kg (High Weight Group). The pre-operative, peri-operative, post-operative data regarding surgery and anesthesia were compared between groups. Results Mean weight was 3.9?±?0.8?kg in the LWG and 7.8?±?1.5?kg in the HWG. Children in the LWG were more prone to pre-operative respiratory management (40% mechanical ventilation and 42.9% oxygen therapy). The operating times (82?±?28?min for LWG and 85?±?31?min for HWG) and respiratory parameters during the procedure (PCO~(2)) were comparable between groups. Post-operative complications were 1 gastric perforation with peritonitis and 1 small bowel obstruction in the LWG, 2 cases of gastric perforation with peritonitis in the HWG. Mean follow-up was 67?±?44 months. Significant recurrence of GERD requiring a redo fundoplication was noted in 3 patients in the LWG and 1 patient in the HWG. Conclusion Laparoscopic fundoplication is a safe procedure in infants?≤?5?kg without increase of post-operative complications, recurrence, or mean operative time.
机译：5岁以下儿童的背景腹腔镜基调仍然讨论。我们的目的是评估腹腔镜基础（LF）在5岁以下儿童中的安全性和有效性。方法审查了2005年至2014年间腹腔镜技术治疗的96例儿童的病例。在LF（低重量组）时，三十五名患者的重量为5？kg或更低，61名患者的重量在5.1和10之间？kg（高重量组）。在群体之间比较了关于手术和麻醉的术前，围手术，术后数据。结果平均重量为3.9？±0.8？kg在LWG和7.8？±1.5？kg中。 LWG中的儿童更容易出现术前呼吸系统管理（40％的机械通风和42.9％的氧疗法）。操作时间（82？±28？min用于LWG和HWG的85？±31？min）和过程中的呼吸参数（PCO〜（2））之间是可比的。术后并发症是1次胃穿孔，腹膜炎和1例小肠梗阻，LWG，2例胃壁穿孔，HWG腹膜炎。平均随访67？±44个月。在HWG的LWG和1例患者中，在3名患者中注意到需要重做基本软件的GERD的显着复发。结论腹腔镜基础主体是婴儿的安全程序吗？≤α5？kg，而不增加术后并发症，复发或平均手术时间。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号