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首页> 外文期刊>Surgical Endoscopy >Conditions required for laparoscopic repair of subacute volvulus of the midgut in neonates with intestinal malrotation: 5 cases.
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Conditions required for laparoscopic repair of subacute volvulus of the midgut in neonates with intestinal malrotation: 5 cases.

机译：腹腔镜修复新生儿肠扭转型中肠亚急性肠扭转所需的条件：5例。

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BACKGROUND: This study aimed to evaluate the optimal conditions for laparoscopic management of neonatal subacute volvulus with malrotation. METHODS: Between 1994 and 2002, 13 neonates with midgut volvulus and malrotation entered the authors' institution. Five of these neonates met the eligibility criteria for laparoscopy: good hemodynamic parameters, no gut perforation, and no severe ischemic distress of the bowel shown on preoperative ultrasonography. RESULTS: The results were excellent for only three infants, associated with a shorter postoperative course. One underwent reoperation for a residual duodenal band, and one conversion to open laparotomy was necessary. The predictors of success were no difficulty identifying the abnormal anatomy, no important chylous stasis, and the learning curve of the surgeon. CONCLUSIONS: Despite its previously reported feasibility, neonatal laparoscopy for volvulus with intestinal malrotation is appropriate only for a small number of patients. Strict selection criteria with a clear understanding of the optimal conditions for success may improve the outcome.
机译：背景：本研究旨在评估腹腔镜治疗新生儿亚急性肠扭转并旋转不良的最佳条件。方法：在1994年至2002年之间，有13名带肠中肠扭转和营养不良的新生儿进入作者的病房。这些新生儿中有五个符合腹腔镜检查的资格标准：术前超声检查显示良好的血液动力学参数，无肠穿孔和无严重肠缺血性窘迫。结果：只有三个婴儿的结果是极好的，并且术后病程较短。对残余十二指肠带再行一次手术，必须进行一次开腹剖腹手术。成功的预测因素是识别异常解剖结构，没有重要的乳突淤滞以及外科医生的学习曲线没有困难。结论：尽管先前报道了可行性，但新生儿腹腔镜检查肠扭转不全的肠扭转仅适用于少数患者。对成功的最佳条件有清楚了解的严格选择标准可能会改善结果。

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