小児内視鏡下手術1,398例の検討―第36回九州小児外科研究会アンケート調査報告―

Analysis of 1,398 pediatric patients who underwent endoscopic surgery ―The 36th Kyushu Pediatric Surgical Congress Questionnaire―

◆要旨：九州・沖縄地区の小児内視鏡下手術の現況を検討した．九州・沖縄地区の小児外科診療施設にアンケート調査を行ったところ，腹腔鏡下手術1,142例，胸腔鏡下手術256例，計1,398例が集計された．腹腔鏡下手術は1992年に，胸腔鏡下手術は1993年より開始されていた．腹腔鏡下手術では31例が開腹に，また胸腔鏡下手術では3例が開胸に移行していた．術中偶発症・術後合併症は腹腔鏡下手術で31例に，胸腔鏡下手術で6例にみられた．基本的操作の習熟ならびに技術の向上による術中偶発症・術後合併症の対処が必要と考えられた．

　The aim of this study was to evaluate the current situation of pediatric endoscopic surgery（PES）in Kyushu area. One thousand three hundreds ninety-eight patients who underwent PES（1,142 laparoscopic surgery and 256 thoracoscopic surgery）were reviewed using a questionnaire and the results were presented at 36th Kyushu Pediatric Surgery Study Meeting. In Kyushu area, the first laparoscopic surgery was performed in 1992 and the first thoracoscopic surgery in 1993 . There has been a gradual increase in the number of both endoscopic operations every year. Thirty-one patients who had laparoscopic surgery required a conversion to laparotomy., and 3 patients with thoracoscopic surgery required a conversion to standard thoracotomy. Thirty-one patients with laparoscopic surgery and six patients with thoracoscopic surgery had complications. There was no mortality associated with either surgical procedures. It is necessary to perform each basic manipulation completely and to acquire advanced technique.