Long-Term Results of One-Stage Laparoscopic-Assisted Endorectal Pull-Through for Rectosigmoid Hirschsprung's Disease in Patients Aged Above 5 Years.

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Kin Wai Edwin ChanYuk Him Peter Tam

Abstract

Purpose: Despite the fact that the laparoscopic-assisted endorectal pull-through (LAEPT) for Hirschsprung's disease (HD) was introduced over 20 years ago, published outcomes in older children and adolescent are lacking. To address this, we studied the long-term results of LATEP for rectosigmoid HD in patients above 5 years of age. Materials and Methods: A retrospective review was conducted on all nonsyndromic patients above 5 years of age and who underwent one-stage LAEPT for rectosigmoid HD between January 2002 and December 2017. Late Hirschsprung-associated enterocolitis (HAEC) was defined as HAEC occurring 1 year after the pull-through operation. Postoperative bowel function was assessed using the Krickenbeck classification. Results: Forty-one patients (37 males and 4 females) were included in this study with a median follow-up of 9.0 years. The median age at surgery was 55 days. Two patients had anastomotic leakage. No patient had late HAEC, rectal prolapse, anastomotic stricture, or intestinal obstruction. According to the Krickenbeck classification, all patients had voluntary bowel movements without constipation. Overall, 65.8% of patients had no soiling. However, on subgroup analysis, only 45.4% of patients younger than ...Continue Reading

References

Jul 1, 1995·Journal of Pediatric Surgery·K E GeorgesonW D Hardin
May 1, 1996·Acta Paediatrica·G W WongW K Yeung
Aug 29, 1998·Journal of Pediatric Surgery·L De la Torre-Mondragón, J A Ortega-Salgado
Jan 22, 2005·Seminars in Pediatric Surgery·Keith E Georgeson, Daniel J Robertson
Sep 29, 2006·Pediatric Surgery International·Maria MenezesPrem Puri
Dec 25, 2008·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Girolamo MattioliVincenzo Jasonni
Aug 27, 2010·Annals of the Royal College of Surgeons of England·T J Bradnock, G M Walker
Mar 28, 2012·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Shao-tao TangLi Yang
Sep 19, 2012·Seminars in Pediatric Surgery·Risto J Rintala, Mikko P Pakarinen
Apr 11, 2013·European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie·Jan-Hendrik GosemannMartin Lacher
Jul 1, 2016·Pediatric Surgery International·Andrea BischoffA Peña
Jul 8, 2016·Pediatric Surgery International·J ZimmerP Puri
Nov 30, 2016·European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie·Augusto ZaniUNKNOWN EUPSA Network Office
Jan 7, 2017·Pediatric Surgery International·Tomoaki TaguchiSatoshi Ieiri
Feb 10, 2017·Pediatric Surgery International·J C LangerUNKNOWN American Pediatric Surgical Association Hirschsprung Disease Interest Group
Jul 25, 2017·European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie·Viet Quoc TranHenri Steyaert
Nov 22, 2018·Pediatric Surgery International·Elisabet GustafsonJohan Danielson
Feb 27, 2019·Diseases of the Colon and Rectum·Farouk DrissiPaul-Antoine Lehur
Jun 16, 2019·Pediatric Surgery International·P SaadaiUNKNOWN American Pediatric Surgical Association Hirschsprung Disease Interest Group
Oct 16, 2019·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Chiara IacussoPietro Bagolan
Jan 15, 2020·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Osama A Bawazir

❮ Previous
Next ❯

Methods Mentioned

BETA
biopsy
biopsies
dissection

Software Mentioned

TTAP
LAEPT
SPSS

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.