Laparoscopic extensive colectomy with transanal Soave pull-through for intestinal neuronal dysplasia in 17 children

Abstract

Laparoscopic procedure for left colectomy and subtotal colectomy with transanal Soave pull-through in infants and children with IND is safe, feasible, and effective. The location of barium stagnation in proximal margin may be used as a method to predict initially the proximal margin of the resected bowel segment.

Right Colon to Rectal Anastomosis (Deloyers Procedure) as a Salvage Technique for Low Colorectal or Coloanal Anastomosis

“…4,7,8 No patient in the present study developed anastomotic leakage. This compares favorably with the 10% to 15% of septic complications reported after low CRA for rectal cancer, 15 and with the 3% to 17% of anastomotic leak after total colectomy with ileorectal anastomosis.…”

“…Since this publication, 4 studies including a total of 32 patients have reported the results of the Deloyers procedure, and all have focused on Hirshsprung disease and severe chronic constipation. [5][6][7][8] Recently, a retrospective study of 3 patients also gave results of this right colonic transposition technique, performed for synchronous colorectal tumors and segmental colonic Crohn's disease. 10 In our series, the 2 main indications for the Deloyers procedure were Hartmann reversal and previous colorectal anastomosis-related complications.…”

“…[5][6][7][8] We favored the Deloyers procedure as a salvage technique for CRA or CAA and we aimed to report on indications and postoperative and long-term outcomes of this procedure with particular focus on functional results.…”

Intestinal neuronal dysplasia type B: A still little known diagnosis for organic causes of intestinal chronic constipation

“…Although there is not a wellestablished role to surgical treatment as in Hirshcprung's disease, there are some reports of this modality of treatment in INDB [83] . Surgical treatment can be performed through different techniques [11,46,63,92] . Schärli [11] (1992) reported favorable results with a posterior sphincteromyotomy in 13 patients, after a limited 6 mo followup period.…”

“…The criteria described by MeierRuge et al [22] (2004) and slightly altered by MeierRouge et al [5] [5,77,92] . The results obtained with these different types of treatment are very discordant.…”