Yan Ping,Xu Yajuan,Lu Changgui,et al.Anorectal Function after Sacrococcygeal Teratoma surgery in the Neonate: a Post-operative Follow-up study[J].Journal of Clinical Pediatric Surgery,,17():13-17.
Anorectal Function after Sacrococcygeal Teratoma surgery in the Neonate: a Post-operative Follow-up study
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第17卷
Number:
2018 01
Page:
13-17
Column:
专题讨论
Date of publication:
2018-01-28
- Keywords:
- Sacrococcygeal Teratoma; Anorectal Function; Neonate
- Document code:
- A
- Abstract:
- Objective Evaluate the neonates anorectal function after undergoing SCT resection. Methods A retrospective review of anorectal functional with SCT patients in our center (Department of Neonatal Surgery, Children’s Hospital of Nanjing Medical University) was performed. Materials were recorded as follows: age at admission, symptoms and signs, surgical procedures, classification of Altman’s, classification of histopathology. The anorectal function of the patients was followed-up with Krickenbeck’s classification, focusing on free defecation, fecal contamination levels and constipation levels. Results A total of 92 SCT neonates were included in this study from February 2008 to January 2014. 21 boys and 71 girls with a mean age of 18.5±6.6 days (range 1d-25d) underwent excision of SCT in the neonatal period. With the Altman’s classification system, 57 patients(62.0%) were classified as type I, 25 cases(27.1%) type II and 10 cases(10.9%) type III. In all cases, 28 patients(30.4%) had anorectal dysfunction, including 7 cases(7.6%) of soiling (4 cases type I, 2 cases type II and 1 case type III), and 21 cases(22.8%) of constipation (13 cases type I, 6 cases type II and 2 cases type III). The incidence of postoperative anorectal dysfunction was not significantly difference with sex, histopathological classification, and surgical approaches(χ2=3.795, P = 0.051；χ2=3.341, P = 0.188；χ2=1.737, P = 0.187). There is no significantly difference among type I, type II or type III(χ2=0.040, P = 0.980). There are significantly difference in the size of SCT among type II or type III （t = 4.003，P= 0.025；t = 2.796，P = 0.017）. Conclusion Functional results after resection of neonatal (type I, II, III) of SCT are excellent. Constipation is relatively common, with only a small number of patients reporting problems with fecal.
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