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laparoscopic-assisted-polypectomy:对于儿童内镜无法切除的息肉来说,这是一个有希望的最小侵入性解决方案

Ayman Goneidy¹, Andrew R Ross¹, Rebecca Roberts¹

¹Chelsea and Westminster Hospital, London, SW10 9NH, UK.

Journal of pediatric surgery

|April 11, 2025

概括

laparoscopic-assisted polypectomy (LAPT) 可以安全地去除患有Peutz-Jeghers综合征 (PJS) 和青少年多重症综合征 (JPS) 的儿童的难以接触的肠. 这种技术可以避免需要同时进行内镜或数字触摸.

科学领域:

儿科手术儿科手术
胃肠病学胃肠病学
手术瘤学手术瘤学

背景情况:

皮茨-杰格斯综合征 (PJS) 和青少年多综合征 (JPS) 常见于儿童中小肠和大肠多.
内镜或数字触摸方法可能不足,或对某些聚位或大小带来风险.

研究的目的:

评估腹腔镜辅助多角切除术技术 (LAPT) 在儿科三级中心的疗效和安全性.
报告该中心对LAPT用于儿童复杂肠的经验.

主要方法:

在13年时间内接受LAPT的儿科患者 (18岁以下) 的前性审查.
数据收集包括人口统计,诊断,手术细节,组织病理学,并发症和随访.
排除标准包括18岁以上的患者或经过内镜多角切除术的患者.

主要成果:

17名儿科患者 (平均年龄为12岁) 在2011年至2024年期间接受了19次LAPT手术.
14名患者患有PJS,3名患者患有JPS;由于大小,位置或穿孔风险,聚体不适合标准内镜切除.
在所有病例中,LAPT都是成功的,没有转换为开放性手术,平均住院时间为5天,没有晚期并发症.

结论:

laparoscopic-assisted polypectomy (LAPT) 是一个有效和安全的手术选择,用于切除儿童的肠,特别是患有PJS和JPS的儿童.
对于穿孔风险较高的息肉,LAPT为内镜方法提供了可行的替代方案,消除了对并发内镜或数字触摸的需求.

关键词:

青少年的多重症.腹腔镜检查 (Laparoscopy) 是一个非常好的方法.聚光学 (Polypectomy) 是一种多重的学科.普埃茨-杰哈斯综合征是什么?

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