目的 探讨钩针辅助单孔腹腔镜在小儿外科应用的可行性及安全性。方法 应用自制钩针辅助单孔腹腔镜行小儿外科手术508例,其中腹股沟斜疝310例,阑尾炎151例,肠粘连15例,精索静脉曲张32例。结果 19例阑尾炎中转传统腹腔镜法完成阑尾切除,1例肠粘连中转开腹行粘连松解,其余488例均顺利完成手术,术后未发生并发症。结论 钩针辅助小儿单孔腹腔镜手术具有术后疼痛轻、恢复快、腹壁瘢痕不明显且隐蔽等优点,是安全、可行且更加微创的手术,值得推广。
Objective To evaluate the feasibility and safety of singleport laparoscopic technique assisted by hooked needle in pediatric surgery. Methods Singleport laparoscopic surgery assisted by selfmade hooked needle was conducted in 508 children. 310 children were diagnosed as indirect inguinal hernia, 151 children as appendicitis, 15 children as intestinal adhesion and 32 children as varicocele. Results The surgery was completed uneventfully in 488 cases. 19 cases with appendicitis were converted to conventional laparoscopic appendicectomy, and one case with intestinal adhesion was converted to open adhesiolysis. No complications occurred in any of cases. Conclusions Singleport laparoscopic technique assisted by hooked needle is a safe, feasible and less invasive approach for children, which is associated with advantages of less postoperative pain, faster recovery and unobvious abdominal scar. It is worthy of clinical promotion.