腸重積症治療における腹腔鏡下手術

The role of laparoscopic surgery in the treatment of childhood intussusception

　われわれは21例の小児腸重積症に対し腹腔鏡下手術を施行した．21例中19例に治療目的で手術を施行し，反復性腸重積症2例に腹腔鏡検査を行った．回腸結腸型の9例には整復術のみが施行され，器質的疾患を合併した4例には小腸切除術が追加された．残り6例中4例は手術時に自然整復しており，2例が開腹手術に移行となった．腹腔鏡下腸重積整復術は回腸結腸型腸重積症に有効であり，器質的疾患合併腸重積症や反復性腸重積症に対しても有意義なものである．しかしながら小児腸重積症に対する腹腔鏡下手術は広く一般に普及しておらず，今後の検討がまたれると考えられた．

The authors report their experiences of laparoscopic surgery for intussusception in 21 children. Laparoscopic reduction of intussusception was tried in 19 cases of 21 children. Diagnostic laparoscopy was performed in an-other two cases because of repeated recurrences of intussusception. Laparoscopic reduction of intussusception was successfully performed in 13 of 19 operated children. All of nine reduced cases were ileo-colic intussusception and laparoscopic-assisted bowel resection was added in 4 cases because of complicated Meckel's divelticulum etc.