Laparoscopic antegrade continence enema using a two-port technique

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Brice AntaoJulian Roberts

Abstract

The antegrade continence enema is an effective method of treatment of fecal incontinence. We report our experience of a laparoscopic antegrade continence enema procedure and describe a simple approach to this procedure using a two-port technique. Over a 3-year period, 12 children with intractable constipation and fecal soiling underwent the antegrade continence enema procedure laparoscopically. All cases had full bowel preparation the day before surgery. This procedure was done through one 5-mm camera port and two 5-mm working ports in 8 cases, and using the camera port and only one additional 5-mm working port in 4 cases. The appendix was used in 5 cases and the cecum in 3 cases with the threeport technique while the appendix was used in all 4 cases with the two-port technique. The appendix or cecum was delivered extracorporeally through the 5-mm port site in the right lower quadrant. The mucocutaneous anastomosis was stented using a gastrostomy button. Between 2001 and 2004, 12 children (10 male, 2 female) underwent a laparoscopic antegrade continence enema procedure at a median age of 10.5 years (range, 7-14 years). This procedure was easy to perform and no case required conversion to an open procedure. The wash-outs via the...Continue Reading

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Citations

Apr 15, 2008·Pediatric Surgery International·Chandrasen Kumar SinhaHarry C Ward
Mar 4, 2011·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Taiwo A LawalMarc A Levitt
Oct 8, 2014·Pediatric Surgery International·S BassonP Charlesworth
Mar 11, 2016·Current Opinion in Pediatrics·Richard J WoodMarc A Levitt

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