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Single-stage laparoscopic transanal pull-through modified Swenson procedure without leaving a muscular cuff for short- and long-type Hirschsprung disease: a comparative study
- Source :
- Pediatric Surgery International. 34:1105-1110
- Publication Year :
- 2018
- Publisher :
- Springer Science and Business Media LLC, 2018.
-
Abstract
- Purpose: The Soave procedure (SO) is performed most commonly for Hirschsprung disease. SO reduces the risk of injury to the pelvic structures; however, a residual aganglionic muscle cuff could interfere with bowel movement and lead to obstructive enterocolitis. The Swenson procedure is considered ideal in terms of peristalsis. Currently, laparoscopic surgery provides better visualization and facilitates precise dissection, possibly leading to feasible performance of the laparoscopic modified Swenson procedure (SW). We present our operative technique and the efficacy of the SW compared with that of SO. Methods: We retrospectively reviewed the records of 16 and 27 patients who underwent SW and SO, respectively, between 2012 and 2017. Results: Operative time, blood loss, length of stay, and frequency of bowel movements showed no significant difference between the two groups. In the SW group, temporary dysuria occurred in one patient, postoperative enterocolitis in two, wound infection in one, and severe perianal excoriation in four, whereas in the SO group, obstructive symptoms occurred in three patients, small-bowel obstruction in one, and severe perianal excoriation in three. The complications and outcomes were comparable between both groups. Conclusion: Laparoscopic SW was safe and feasible for the short-term follow-up outcomes.<br />ファイル公開:2019/10/01
- Subjects :
- Aganglionosis
Male
Laparoscopic surgery
medicine.medical_specialty
medicine.medical_treatment
Single stage
Operative Time
03 medical and health sciences
Postoperative Complications
0302 clinical medicine
Japan
030225 pediatrics
Pediatric surgery
Swenson
medicine
Humans
Dysuria
Hirschsprung Disease
Child
Laparoscopy
Retrospective Studies
Enterocolitis
medicine.diagnostic_test
business.industry
Infant
General Medicine
Length of Stay
Surgery
Dissection
Treatment Outcome
Child, Preschool
030220 oncology & carcinogenesis
Pediatrics, Perinatology and Child Health
Cuff
Defecation
Female
medicine.symptom
business
Muscular cuff
Subjects
Details
- ISSN :
- 14379813 and 01790358
- Volume :
- 34
- Database :
- OpenAIRE
- Journal :
- Pediatric Surgery International
- Accession number :
- edsair.doi.dedup.....d7a25ec380f9dbe020ac25fc17131640