Early and late outcomes of primary laparoscopic endorectal colon pull-through leaving a short rectal seromuscular sleeve for Hirschsprung disease

Journal of Pediatric Surgery
Thanh Liem NguyenT Hong Anh Vu

Abstract

To report early and late outcomes of laparoscopic colon pull-through leaving a short rectal sleeve for Hirschsprung disease. Laparoscopic endorectal colon pull-through was performed using 4 ports. The ganglionic and aganglionic segments were initially identified by seromuscular biopsies obtained laparoscopically. The rest of the procedure was carried out according to Georgeson's technique. However, we left a short rectal seromuscular sleeve of 1.5 to 2 cm above the dentate line. From January 2001 to December 2007, 200 patients were operated upon by the same surgeon. Ages ranged from 14 days to 36 months old. The aganglionic segment was located in the rectum in 112 patients, in the sigmoid colon in 80 children, and in the left colon in 8 patients. The median operating time was 152 minutes. There were no perioperative deaths. Conversion to open surgery was required in four patients. There was minimal blood loss during the surgery. Oral intakes of clear fluid were started 12 hours after surgery and advanced to formula on the second day. In 1 patient, a small intestinal perforation occurred 3 days after surgery, requiring a diverting ileostomy. The mean hospital stay was 6.6 days (range, 4-12 days). Follow-up ranging from 5 to 85 m...Continue Reading

References

Aug 1, 1989·Journal of Pediatric Surgery·J O ShermanO Swenson
Jul 1, 1995·Journal of Pediatric Surgery·K E GeorgesonW D Hardin
Aug 1, 1994·Journal of Laparoendoscopic Surgery·B M SmithT E Lobe
Mar 16, 2004·Journal of Pediatric Surgery·Essam A ElhalabyA F Hamza
May 11, 2006·European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie·G PodevinB Fremond
Jan 9, 2007·Journal of Pediatric Surgery·Ahmed Nasr, Jacob C Langer

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Citations

Jan 11, 2011·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Salmai TurialFelix Schier
Mar 28, 2012·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Shao-tao TangLi Yang
Sep 19, 2012·Seminars in Pediatric Surgery·Jacob C Langer
Oct 14, 2016·Journal of Pediatric Urology·Hendt P VersteeghMichael P Stanton
Nov 11, 2016·World Journal of Gastrointestinal Surgery·Ashwath S BandiStefano Giuliani
Dec 29, 2015·Asian Journal of Endoscopic Surgery·Tadashi IwanakaToshihiko Watanabe
Apr 13, 2021·Journal of Robotic Surgery·Tran Anh QuynhTran Hung
Oct 2, 2021·Pediatric Surgery International·J HagensC Tomuschat

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