Kết quả điều trị nang ruột đôi bằng phẫu thuật nội soi tại khoa ngoại Bệnh viên Nhi Trung ương giai đoạn 2010 - 2020

Abstract

This study described the treatment of intestinal duplication cysts in children treated at the
surgical department of the National Children's Hospital between 2010 - 2020. Medical records of
125 patients diagnosed with intestinal duplication cysts and treated with laparoscopy from 2010
to 2020 were included in the analysis. Those with incomplete information about administration,
history, medical history, clinical examination, paraclinical parameters, admission, or discharge
were excluded. The results showed that in laparoscopic surgery, laparoscopic 1-trocar support
was used the most with 62.4% of the cases, and 4 cases were converted to open surgery due
to unobservable and difficult laparoscopic surgery. Opening the tip and cauterizing the cyst lumen
was the most common treatment method (45.5%). The mean duration of all types of laparoscopic
surgery was 60.54 ± 19.68 minutes. The 1-trocar-assisted laparoscopic surgery took the shortest
amount of time, about 58.78 ± 18.71, and is significantly shorter than 3-trocar assisted surgeries
(p = 0.17). The mean postoperative time was 4.02 ± 1.23 days, the time of intestinal circulation
was 1.55 ± 0.78 days, the time to start feeding was 1.79 ± 0.85 days, the mean postoperative
hospital stay was 3.99 ± 1.32 days. Postoperative complications included vomiting (8.3%), fever
(6.6%), wound infection (1.7%), early postoperative bowel obstruction (0.8%) and reoperation
(0.8%). There was no incidence of bleeding at the anastomosis or leakage of the anastomosis.