Objective To compare the efficacy between transumbilical laparoscopic and conventional three-trocar laparoscopic surgery for Meckel's diverticulum in children. Methods We did a retrospective search on 41 patients under 12 years old admitted to our department with the diagnosis of Meckel's diverticulum from January 2010 to December 2015. According to the operation method, they were divided into two groups: transumbilical laparoscopy group (n=18) and conventional three-trocar laparoscopy group (n=23). Comparative analyses on operation time, blood loss, complications, hospital stay, and cost were made between the two groups. Results All of them were operated by laparoscopy. The cost was significantly lower in the transumbilical laparoscopy group than that in conventional three-trocar laparoscopy group [(19 ± 2) thousand RMB vs. (22 ± 2) thousand RMB, t= -4. 766, P=0. 000]. There were no differences between operative time [(90. 3 ± 13. 0) min vs. (85. 7 ± 10. 5) min, t=1. 254, P=0. 217], intra-operative blood loss [(2. 8 ± 1. 2) ml vs. (2. 9 ± 1. 3) ml, t= -0. 253, P=0. 802], and hospital stay [(4. 9 ± 0. 6) d vs. (5. 1 ± 0. 7) d, t= -0. 965, P=0. 340]. No operative complications occurred in both groups. The cosmetic outcome was better in the transumbilical laparoscopy group than that in conventional laparoscopy group. Conclusion Transumbilical laparoscopic surgery for Meckel's diverticulum in children has advantage in cost and better cosmetic outcome by reducing the number of incisions.%目的 比较经脐腹腔镜与传统三孔腹腔镜手术治疗小儿麦克尔憩室的疗效,为临床治疗选择术式提供参考.方法 回顾比较我科2010年1月~2015年12月41例麦克尔憩室患儿,按照手术方式分为2组,分别为经脐腹腔镜组18例与传统三孔腹腔镜组23例,比较2组手术时间、术中出血量、术后并发症、术后住院时间、住院费用等. 结果 41例患儿均顺利完成手术.经脐腹腔镜组住院费用明显低于传统三孔腹腔镜组[(1. 9 ± 0. 2)万元 vs. (2. 2 ± 0. 2)万元,t= -4. 766,P=0.000],2组手术时间 [(90.3±13.0)minvs.(85.7±10.5)min,t=1.254,P=0.217]、术中出血量[(2.8±1.2)mlvs.(2.9± 1.3)ml,t= -0.253,P=0.802]、术后住院时间[(4.9±0.6)dvs.(5.1±0.7)d,t= -0.965,P=0.340]均无显著差异.术后均无并发症发生.经脐腹腔镜术后仅留有脐部瘢痕,较传统三孔腹腔镜手术更为美观. 结论 经脐腹腔镜手术治疗小儿麦克尔憩室较传统三孔腹腔镜手术住院费用低,切口少,更为美观.
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