Laparoscopic-assisted transanal Soave pull-through procedure for Hirschsprung's disease and allied disorders
10.3760/cma.j.issn.1007-631X.2012.09.013
- VernacularTitle:腹腔镜辅助经肛门Soave拖出术治疗先天性巨结肠症及同类性疾病
- Author:
Yi SU
;
Suolin LI
;
Chi SUN
;
Zhenyu YANG
;
Zengwen YU
;
Chaosheng HE
- Publication Type:Journal Article
- Keywords:
Hirschsprung disease;
Laparoscopes;
Colectomy
- From:
Chinese Journal of General Surgery
2012;27(9):736-739
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo explore the feasibility and outcomes of natural orifice transanal laparoscopic Soave procedure for Hirschsprung's disease and allied disorders (HAD).MethodsFrom March 2010 to December 2011,31 cases (at the age from 3 mos to 6 yrs) with Hirschsprung's disease or allied disorders (5 cases)underwent laparoscopic-assisted Soave pull-through procedure at two tertiary hospitals.We modified this technique by mobilizing the left hemicolon or whole colon via rectal muscular sleeve approach under transanal or transumbilical laparoscopic vision,then endorectal pull-through to completearectosigmoidectomyorsubtotalcolectomy. ResultsAllprocedureswerecompleted successfully.A rectosigmoidectomy was performed in 16 cases with classic HD and subtotal colectomy in 15 cases with extended HD and HAD.The average operative time was ( 117 ± 13) min.The length of the resected segment was 35 -80 cm,and the estimated blood loss was 5 -20 ml. One infant developed postoperative intestinal obstruction that required open exploration.Follow-up of one to 20 mos found no stoma stenosis or constipation recurrence. Enterocolitis developed in 1patient.ConclusionsTransanal or transumbilical laparoscopic-assisted Soave pull-through surgery is safe,effective and with a benefit of much less invasion and almost invisible scars.
