Primary Laparoscopic-Assisted Endorectal Colon Pull-Through for Hirschsprung’s Disease

Georgeson, Keith E.; Cohen, Roger D.; Hebra, André; Jona, Juda Z.; Powell, David; Rothenberg, Steven S.; Tagge, Edward P.

doi:10.1097/00000658-199905000-00010

Cited by 201 publications

(123 citation statements)

References 7 publications

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“…Georgeson (10) tarafından tanımlanan laparoskopik yaklaşımla hastalar hastanede daha kısa süre kalır-ken, açık cerrahide belirtilenlerle benzer sonuçlara daha erken ulaştıkları bildirilmiştir. Ancak, bu teknikte kanama ve diğer pelvik organların termal ya da harmonik yaralanma riski vardır (14) .…”

Section: Discussionunclassified

Comparison of transanal endorectal pull-through and laparoscopic assisted transanal endorectal pull-through for Hirschsprung's disease

Güzel¹,

Küçükaydın²

2010

TCCD

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Özet Amaç: Bu çalışmada, Hirschsprung hastalığının (HH) tedavisinde, transanal endorektal pull through (TEP) ve laparoskopi yardımlı transanal endorektal pull through (LYTEP) yöntemlerinin sonuçları karşılaştırıldı.Yöntemler: Endorektal pullthrough yapılan 47 Hirschsprung hastası, uygulanan Anahtar kelimeler: Hirschsprung hastalığı, endorektal pullthrough SummaryComparison of transanal endorectal pull-through and laparoscopic assisted transanal endorectal pull-through for Hirschsprung's disease Objective: In this study, we compared the results of transanal endorectal pull-through (TEP) and laparoscopic assisted transanal endorectal pull-through technique (LATEP) for Hirschsprung's disease (HD). Methods: Forty-seven Hirschsprung's disease patients, operated on by endorectal pull-through, were divided in two groups according to operation technique and results

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Section: Discussionunclassified

Comparison of transanal endorectal pull-through and laparoscopic assisted transanal endorectal pull-through for Hirschsprung's disease

Güzel¹,

Küçükaydın²

2010

TCCD

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“…It has been labeled -a new gold standard. [2] The need for preliminary colostomy is eliminated in most babies. The recovery from the operation is prompt and the hospitalization shortened.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3] Preoperative bowel prep ie., mechanical cleansing, clear liquids, oral Neomycin and broad spectrum intravenous antimicrobial (Ampicillin and Gentamycin) coverage were all instituted. Patients positioning and port locations were all standardized.…”

Section: Methodsmentioning

confidence: 99%

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Laparoscopic pull through for Hirschsprung′s disease in infants

Jona

2005

J Indian Assoc Pediatr Surg

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ABSTRACT ABSTRACT ABSTRACTPurpose: To report personal experience with Primary Laparoscopic Pullthrough Procedure (PLPP) in infants with Hirschsprung's Disease (H.D.). Materials and Methods: Sixty four PLPP were performed by the author. In addition, 17 assisted LPP were done but not reported herein. The patients' personal and anatomic data were typical for babies with H.D. Results: Average age at operation was seven weeks (range 1-28 weeks). Operative time for PLPP averaged 140 minutes. Two babies required conversion to a standard laparotomy for anatomic reasons (long segment). Average blood loss was <5 ml. No intraoperative nor immediate post operative complications were seen. Hospitalization was short (2-3 days). Two had mild diarrhea episodes which improved without hospitalization. Another child developed a severe problem with enterocolitis 3½ years following the operation. In general, stool habits fell within the normal range for those > 4 years of age. Conclusion: PLPP is an effective, problem free approach for treating neonatal H.D. It has replaced the standard two stage open procedure in babies with uncomplicated presentation.

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“…Over the past 15 years, the popularity of minimal-access surgical techniques has led to a number of changes to the standard single-staged operations, including the use of laparoscopic access [14].…”

Section: Transanal Endorectal Pull Throughmentioning

confidence: 99%

A 15-Year Experience with the One-Stage Surgery for Treatment of Hirschsprung’s Disease in Newborns, Infants, and Young Children

Sosnowska

Błaszczyński

2014

Indian J Surg

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The treatment of Hirschsprung's disease has changed over the past several years. Significant modifications occurred after the implementation of surgery without laparotomy, using transanal access. The type of this surgery depends on the condition and the age of a child. The aim of the study was to summarize our 15-year experience with one-stage surgery for the treatment of Hirschsprung's disease in the wider context of current clinical practice and to identify transanal endorectal pull-through-related factors influencing the surgery and hospitalization. The retrospective analysis of newborns, infants, and young children was performed between 2000 and 2014. Four girls and 29 boys were operated on. The parameters describing the surgery and the hospitalization were analyzed. The number of patients treated using transanal endorectal pull-through technique was 30, and Duhamel-Martin, 3. There were significant correlations (p<0.05) between necessity of blood transfusion, length of resected intestine, operative time, the number of intraoperative histopathological assessments, and length of hospitalization. The time of one-step surgery is extended because of waiting for repeated intraoperative histopathological assessment of the level of resection. More extended bowel resection is connected with longer length of hospitalization and, more often, necessity of blood transfusion.

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Primary Laparoscopic-Assisted Endorectal Colon Pull-Through for Hirschsprung’s Disease

Abstract: Laparoscopic-assisted colon pull-through appears to reduce perioperative complications and postoperative recovery time dramatically. The technique is quickly learned and has been performed in multiple centers with consistently good results.

Cited by 201 publications

References 7 publications

Comparison of transanal endorectal pull-through and laparoscopic assisted transanal endorectal pull-through for Hirschsprung's disease

Comparison of transanal endorectal pull-through and laparoscopic assisted transanal endorectal pull-through for Hirschsprung's disease

Laparoscopic pull through for Hirschsprung′s disease in infants

A 15-Year Experience with the One-Stage Surgery for Treatment of Hirschsprung’s Disease in Newborns, Infants, and Young Children

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