2024-03-28T17:32:55Z
https://nagoya.repo.nii.ac.jp/oai
oai:nagoya.repo.nii.ac.jp:00026901
2023-01-16T04:17:30Z
499:500:501
Single-stage laparoscopic transanal pull-through modified Swenson procedure without leaving a muscular cuff for short- and long-type Hirschsprung disease: a comparative study
Yokota, Kazuki
88142
Uchida, Hiroo
88143
Tainaka, Takahisa
88144
Tanaka, Yujiro
88145
Shirota, Chiyoe
88146
Hinoki, Akinari
88147
Kato, Takazumi
88148
Sumida, Wataru
88149
Oshima, Kazuo
88150
Chiba, Kosuke
88151
Ishimaru, Tetsuya
88152
Kawashima, Hiroshi
88153
Hirschsprung disease
Swenson
Muscular cuff
Laparoscopy
Aganglionosis
Single stage
Purpose: The Soave procedure (SO) is performed most commonly for Hirschsprung disease. SO reduces the risk of injury to the pelvic structures; however, a residual aganglionic muscle cuff could interfere with bowel movement and lead to obstructive enterocolitis. The Swenson procedure is considered ideal in terms of peristalsis. Currently, laparoscopic surgery provides better visualization and facilitates precise dissection, possibly leading to feasible performance of the laparoscopic modified Swenson procedure (SW). We present our operative technique and the efficacy of the SW compared with that of SO. Methods: We retrospectively reviewed the records of 16 and 27 patients who underwent SW and SO, respectively, between 2012 and 2017. Results: Operative time, blood loss, length of stay, and frequency of bowel movements showed no significant difference between the two groups. In the SW group, temporary dysuria occurred in one patient, postoperative enterocolitis in two, wound infection in one, and severe perianal excoriation in four, whereas in the SO group, obstructive symptoms occurred in three patients, small-bowel obstruction in one, and severe perianal excoriation in three. The complications and outcomes were comparable between both groups. Conclusion: Laparoscopic SW was safe and feasible for the short-term follow-up outcomes.
ファイル公開:2019/10/01
journal article
Springer
2018-10
application/pdf
Pediatric Surgery International
10
34
1105
1110
0179-0358
1437-9813
https://nagoya.repo.nii.ac.jp/record/26901/files/Hirschsprung_final.pdf
eng
https://doi.org/10.1007/s00383-018-4318-1
“This is a post-peer-review, pre-copyedit version of an article published in [Pediatric Surgery International]. The final authenticated version is available online at: http://dx.doi.org/10.1007/s00383-018-4318-1”.