腹腔镜辅助手术与开腹手术治疗儿童消化道磁性异物的效果比较

doi:10.20047/j.issn1673-7210.2022.35.21

Abstract
Figure/Table
References (27)
Related Citation (15)

Download: PDF (476 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To compare the effect of laparoscopic-assisted surgery and open laparotomy in the treatment magnetic foreign body in children’s digestive tract. Methods From December 2015 to January 2022, 84 patients with magnetic foreign bodies in digestive tract undergoing surgical treatment admitted Beijing Children’s Hospital, Capital Medical University were selected, and they were divided into open laparotomy group (42 cases), laparoscopic group (30 cases) according to the surgical method, and the remaining twelve child patients who were converted from laparoscopy to laparotomy were not included in the group. The number of magnetic foreign bodies, distribution of the magnetic foreign bodies, complications caused by magnetic foreign bodies, operation time, intraoperative blood loss, postoperative feeding time, postoperative hospitalization time, and postoperative complications were compared between two groups. Results There was statistical significance in the number of magnetic foreign bodies in empty ileum between two groups (P＜0.05). There were no significant differences in the incidence of preoperative intestinal obstruction, the incidence of digestive tract perforation caused by magnetic foreign bodies, the number of digestive tract perforation, and the incidence of internal hernia between two groups (P＞0.05). The operation time between two groups was statistically significant (P＜0.05); there were no significant differences in intraoperative blood loss, postoperative feeding time, and postoperative hospitalization time between two groups (P＞0.05). There was no significant difference in the total incidence of postoperative complications between two groups (P＞0.05). The hospitalization expenses of two groups were compared, and the difference was statistically significant (P＜0.05). Conclusion Laparoscopic-assisted surgery has the same efficacy as open laparotomy in the treatment of magnetic foreign bodies in children’s digestive tract. The surgeon should choose the appropriate surgical methods according to the specific conditions.

Key words： Child Magnetic foreign body Laparoscopy Surgery

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	CHEN Long WANG Dayong ZHANG Weiping LIU Tingting SHEN Qiulong WANG Li XIE Fangnan LI Xianling

Cite this article:

CHEN Long WANG Dayong ZHANG Weiping LIU Tingting SHEN Qiulong WANG Li XIE Fangnan LI Xianling. Effect comparison of laparoscopic-assisted surgery and open laparotomy in the treatment of magnetic foreign body in children’s digestive tract[J]. 中国医药导报, 2022, 19(35): 92-95.

URL:

https://www.yiyaodaobao.com.cn/EN/10.20047/j.issn1673-7210.2022.35.21 OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I35/92

[1] Wang K，Zhang D，Li XL，et al. Multicenter investigation of pediatric gastrointestinal tract magnets ingestion in China [J]. BMC Pediatr，2020，20（1）：95.
[2] Zheng Y，Zhang Z，Yan K，et al. Retrospective analysis of pediatric patients with multiple rare-earth magnets ingestion：a single-center experience from China [J]. BMC Pediatr，2021，21（1）：179.
[3] Thakkar H，Burnand KM，Healy C，et al. Foreign body ingestion in children：a magnet epidemic within a pandemic [J]. Arch Dis Child，2021，106（12）：1240-1241.
[4] van Waas M，De Bruyne P，de Ridder L. Paediatric multiple magnet ingestion [J]. Lancet Gastroenterol Hepatol，2021，6（1）：80.
[5] Price J，Malakounides G，Stibbards S，et al. Ball magnet ingestion in children：a stronger and more dangerous attraction？[J]. Emerg Med J，2022，39（6）：467-470.
[6] Alfonzo MJ，Baum CR. Magnetic Foreign Body Ingestions [J]. Pediatr Emerg Care，2016，32（10）：698-702.
[7] Miyamoto R，Okuda M，Kaneko K，et al. Multiple Magnets Ingestion Followed by Intestinal Fistula With Mild Symptoms [J]. Glob Pediatr Health，2019，6：2333794X19855805.
[8] Stephenson SG，Knight CT，Rana HN，et al. An Unfortunate Union：A Case of Multiple Magnet Ingestion in a Pediatric Patient [J]. Cureus，2022，14（1）：e21490.
[9] Zhang S，Zhang L，Chen Q，et al. Management of magnetic foreign body ingestion in children [J]. Medicine（Baltimore），2021，100（2）：e24055.
[10] Li XL，Zhang QM，Lu SY，et al. Clinical report and analysis of 24 cases of multiple magnetic beads foreign body in gastrointestinal tract of children [J]. Turk J Gastroenterol，2020，31（11）：819-824.
[11] Sola R Jr，Rosenfeld EH，Yu YR，et al. Magnet foreign body ingestion：rare occurrence but big consequences [J]. J Pediatr Surg，2018，53（9）：1815-1819.
[12] Orsagh-Yentis D，McAdams RJ，Roberts KJ，et al. Foreign- Body Ingestions of Young Children Treated in US Emergency Departments：1995-2015 [J]. Pediatrics，2019，143（5）：e20181988.
[13] Olczak M，Skrzypek E. A case of child death caused by intestinal volvulus following magnetic toy ingestion [J]. Leg Med（Tokyo），2015，17（3）：184-187.
[14] Waters AM，Teitelbaum DH，Thorne V，et al. Surgical management and morbidity of pediatric magnet ingestions [J]. J Surg Res，2015，199（1）：137-140.
[15] De Roo AC，Thompson MC，Chounthirath T，et al. Rareearth magnet ingestion-related injuries among children，2000- 2012 [J]. Clin Pediatr（Phila），2013，52（11）：1006-1013.
[16] Abbas MI，Oliva-Hemker M，Choi J，et al. Magnet ingestions in children presenting to US emergency departments，2002-2011 [J]. J Pediatr Gastroenterol Nutr，2013，57（1）：18-22.
[17] 中华医学会消化内镜学分会.中国上消化道异物内镜处理专家共识意见（2015年，上海）[J].中华消化内镜杂志，2016，33（1）：19-28.
[18] Birk M，Bauerfeind P，Deprez PH，et al. Removal of foreign bodies in the upper gastrointestinal tract in adults：European Society of Gastrointestinal Endoscopy（ESGE）Clinical Guideline [J]. Endoscopy，2016，48（5）：489-496.
[19] Geng C，Li X，Luo R，et al. Endoscopic management of foreign bodies in the upper gastrointestinal tract：a retrospective study of 1294 cases [J]. Scand J Gastroenterol，2017，52（11）：1286-1291.
[20] Lyu X，Pi Z，Wang Z，et al. Successful removal of multiple magnetic foreign bodies in the digestive tract of children by gastroscopy：Two case reports [J]. Medicine，2019，98（18）：e15435.
[21] Lee HJ，Kim HS，Jeon J，et al. Endoscopic foreign body removal in the upper gastrointestinal tract：risk factors predicting conversion to surgery [J]. Surg Endosc，2016，30（1）：106-113.
[22] Zhang YB，Gao ZG，Xiong QX，et al. Clinical experience in the treatment of children who swallowed multiple magnetic foreign bodies：A report of five cases [J]. World J Pediatr，2017，13（3）：274-277.
[23] Hodges NL，Denny SA，Smith GA. Rare-Earth Magnet Ingestion-Related Injuries in the Pediatric Population：A Review [J]. Am J Lifestyle Med，2015，11（3）：259-263.
[24] Ding G，Liu H，Zhou P，et al. Pediatric Multiple High-Powered Magnetic Buckyballs Ingestion-Experience From Six Tertiary Medical Centers [J]. Front Public Health，2022， 10：892756.
[25] 黄华，崔晓燕，张大，等.完全腹腔镜手术治疗小儿消化道异物磁力珠10例分析[J].中国微创外科杂志，2021， 21（7）：657-660.
[26] 刘翠苹，杨军，张伟同，等.腹腔镜与传统开腹手术治疗小儿消化道磁性异物的对比研究[J].临床外科杂志，2022，30（5）：483-485.
[27] Huang X，Hu J，Xia Z，et al. Multiple magnetic foreign body ingestion in pediatric patients：a single-center retrospective review [J]. Pediatr Surg Int，2021，37（5）：639-643.