Application value of duodenal suspension traction technology in laparoscopic duodenal anastomosis
10.3969/j.issn.1009-9905.2017.01.008
- VernacularTitle:悬吊牵引技术在小儿腹腔镜十二指肠吻合术中的应用
- Author:
Lianzhen ZHANG
- Keywords:
Duodenal anastomosis;
Suspension traction technology;
Laparoscope;
Children
- From:
Chinese Journal of Current Advances in General Surgery
2017;20(1):27-29,34
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the application value of duodenal suspension traction technology in laparoscopic duodenal anastomosis.Methods:80 cases of congenital intestinal atresia and stenosis A children treated in our hospital from May 2013 to May 2015were selected by retrospective study law,and were divided into the control group (not used) group and the observation group (with group) according to their surgery whether duodenum suspension traction technology,40 cases in each group.All patients were laparoscopic surgical approach for the three holes.The general surgery situation the incidence of postoperative complications and associated laboratory parameters in the two groups were compared.Results:The operative time,the initial feeding time,the time return to normal diet and hospital stay in observation group were shorter than those in the control group,and the number of blood loss and cases converted to open surgery in the procedure was as well as was significantly less than the control group (P＜0.05);Before surgery,the level of WBC,NEU％,and inflammatory cells factors as PCT,IL-6CPR in the two groups had no significant difference;five days after surgery,the level of WBC,NEU％ and IL-6 in the two groups were all decreased,but the observation group decreased more significantly(P＜0.05);observation group The rate of anastomotic leakage,anastomotic dehiscence,the incidence of adhesions,wound infection and other complications in observation group were significantly lower than the control group,the difference was statistically significance(P＜0.05).Conclusion:The duodenum suspension traction technology in laparoscopic duodenal anastomosis,can reduce accidental injury,then reduce the operation rate,thus shortening the duration of surgery in children,the time required for the first time to eat and hospitalization time for the expansion of the surgical field,and which significantly can reduce the incidence of postoperative infection and other complications in children.
