Clinical study on transanal pull-through procedure for Hirschsprung's disease in children: a 126 cases report
10.3760/cma.j.issn.1008-1372.2013.11.007
- VernacularTitle:经肛门巨结肠根治术治疗126例儿童先天性巨结肠临床疗效研究
- Author:
Bing XU
;
Chuancheng SUN
;
Xiyang YU
- Publication Type:Journal Article
- Keywords:
Hirschsprung disease/surgery;
Child;
Retrospective studies
- From:
Journal of Chinese Physician
2013;15(11):1462-1465
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore clinical effects and operative experience of transanal pull-through procedure for Hirschsprung's disease (HD).Methods The clinical data of 126 children aged from 13 days to 14 years with HD were reviewed.There were 30 cases of short-segment type,85 of common type,and 11 of long-segment type.A total of 95 cases was operated with modified Soave and the other 31 cases were operated with modified Swenson.Results Except two-stage resection in 7(5.6％) cases who already underwent transanal Soave procedure early,one-stage transanal pull-through procedure was performed in the other cases.Laparotomy assisted operation was used for 5 cases and laparoscope assisted operation for 12 cases.The complications were occurred in 35 (27.8％) cases post-operation,including 15 perianatitis,9 enterocolitis,5 anastomotic stenosis,2 soiling,and 4 reoperation.The statistical analysis indicated no difference between two procedures and postoperative complications could be noted between different types (P ＞0.05).A total of 103 patients were followed up from 1 to 10 (mean 2) years.Of all patients,96 (93.2％) were cured,5 (4.9％) symptoms were improved and 2(1.9％) were failed.There were no significant differences in two procedure and the excellent rate of defecation function(P ＞ 0.05).Conclusions Two transanal procedures for HD both had a good efficacy and similar complications.By comparison,transanal Swenson procedure was simpler than Soave procedure,and did not need to enlarge anus post-operation as well.
