laparoscopic gastrostomy插入用于新生儿的长间隙食道
Svetlana Lakunina1, Mohamed Kamel1, Hetal N Patel1
1Department of Paediatric Surgery, Birmingham Children's Hospital, Steelhouse Lane, Birmingham, B4 6NH, UK.
Pediatric surgery international
|December 27, 2025
概括
腹腔镜胃口管 (LGt) 插入是一种安全有效的最小侵入性技术,用于长间隙食道缩 (LGOA) 的新生儿. 这种方法比传统方法具有优势,促进未来的手术修复.
科学领域:
- 儿科手术 儿科手术
- 最少侵入性的手术
- 新生儿护理 新生儿护理
背景情况:
- 长间隙食道缩症 (LGOA) 传统上需要在新生儿中放置胃口管.
- laparoscopic gastrostomy tube (LGt) 插入被探索为一种替代的管理策略.
研究的目的:
- 评估腹腔镜辅助塞尔丁格胃口管在LGOA新生儿中的安全性和有效性.
- 评估这种微创技术在小婴儿胃中的可行性.
主要方法:
- 进行腹腔镜辅助塞尔丁格胃口术的LGOA病例的回顾性审查 (2019-2024年).
- 使用5毫米摄像头和3毫米仪器进行腹横 suture 放置,针刺穿和灌气.
- 采用索线和扩展器的Seldinger技术,用于气球胃口管插入,与体外线绑定.
主要成果:
- 八名LGOA新生儿接受了LGT安置 (中位妊娠36.5周,年龄2天,体重2.2公斤).
- 七名接受了12Fr管;一个早产婴儿 (33周,1.4公斤) 接受了8Fr福利导管.
- 没有直接的并发症或管道移位;对比研究证实了正确的放置,24小时后开始食. 所有患者都进行了胸腔镜修复.
结论:
- 在LGOA的新生儿中, laparoscopic胃口管插入是安全的,即使胃体积小.
- 这种微创的方法提供了优秀的可视化,减少肝脏收缩,并尽量减少胃操纵.
- 较少的粘附的潜力是有利的未来的程序,如 fundoplication.
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