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- W2386347500 abstract "Objective:To compare the effects of the laparoscopy-assisted transanal endorectal pull-through operation and the transanal Soave technique without laparoscopy,and determine whether the laparoscopy-assisted procedure offers more advantages than the transanal Soave approach.Methods:We reviewed the data of 110 children with Hirschsprung's disease undergoing Soave pull-through approach.The patients were divided into 2 groups:transanal Soave with routine laparoscopic visualization(LTS,n=73),and transanal soave with selective laparoscopy(TS,n= 37).The surgical procedures,time of passing feces or flatus and operation,complications,early defecation functions,and cost of laparoscopic equipments were analyzed.Results:In the TS group,laparoscopy was used in 3 children because of indetermination of the level of the transition zone,and in 3 children for mobilization of the splenic flexure because of longer segment HD.There were no differences between two groups in age,gender,location of transition zone,severity of enterocolitis,anal stenosis,anastomotic complications,time of passing flatus and total operation,but the anal dissection time was significantly shorter in the LTS group(the mean was 61 minutes;range from 51 to 71) than the TS(the mean was 3 hours;range from 2.25 to 3.5).The cost(RMB) was higher in the LTS group(2 000 yuan) than the TS by using laparoscopic equipments(ultrasonic scalpel and Trocars),two LTS patients underwent repeat surgery because of anastomotic leak and 5 TS patients required repeat surgery including 1 case of anastomotic leak,1 case of twisted pull-through,1 case of anal shrinking and narrowing and 2 case of recurrent constipation.There were no difference about early defecation functions in 4 following up years(3 months to 8 years).Conclusions:Although the transanal pull-through cost lower than the laparoscopic approach,without a significantly increased risk of complications,routine laparoscopic visualization should be used in children suffering long segment diseases and a part of rectosigmoid diseases.And the laparoscopy-assisted transanal pull-through operation is a much more versatile technique." @default.
- W2386347500 created "2016-06-24" @default.
- W2386347500 creator A5048768185 @default.
- W2386347500 date "2009-01-01" @default.
- W2386347500 modified "2023-09-24" @default.
- W2386347500 title "One-stage Soave pull-through operation for Hirschsprung's disease:a comparison of the laparoscopic-assisted and simple transanal approaches" @default.
- W2386347500 hasPublicationYear "2009" @default.
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