Liu Yuanmei,Huang Lu,Jin Zhu.Current status and reflections on rectal muscular cuff removal in Hirschsprung’s disease[J].Journal of Clinical Pediatric Surgery,,():401-404.[doi:10.3760/cma.j.cn101785-202401058-001]
Current status and reflections on rectal muscular cuff removal in Hirschsprung’s disease
- Abstract:
- Hirschsprung’s disease (HSCR) is a common gastrointestinal disorder in children.Surgical resection of affected intestinal segment represents a primary therapeutic approach for HSCR.Various surgical techniques of Soave,Swenson,Duhamel and Rehbein are commonly employed.And preventing and minimizing postoperative complications have constituted a great challenge and a focal point for clinicians treating HSCR.Precise intraoperative handling of rectal muscle cuff helps to avoid such postoperative complications as constipation,muscular cuff infection,fecal soiling and enterocolitis post-HSCR.Nonetheless,there is a lack of standardized guidelines regarding the extent of rectal muscle cuff resection Consequently,researchers worldwide have endeavored to refine surgical techniques for mitigating postoperative complications.This review focused upon a comprehensive analysis of key considerations during rectal muscle cuff resection,drawing upon current global researches and extensive personal clinical experiences.
References:
[1] Montalva L,Cheng LS,Kapur R,et al.Hirschsprung disease[J].Nat Rev Dis Primers,2023,9(1):54.DOI:10.1038/s41572-023-00465-y.
[2] 谢华,唐维兵.规范、统一先天性巨结肠分型的建议[J].临床小儿外科杂志,2021,20(3):212-216.DOI:10.12260/lcxewkzz.2021.03.003. Xie H,Tang WB.Unifying the classification types of Hirschsprung’s disease[J].J Clin Ped Sur,2021,20(3):212-216.DOI:10.12260/lcxewkzz.2021.03.003.
[3] Woode D,Avansino J,Sawin R,et al.Asa G Yancey:the first to describe a modification of the Swenson technique for Hirschsprung disease[J].J Pediatr Surg,2022,57(8):1701-1703.DOI:10.1016/j.jpedsurg.2022.03.030.
[4] Rintala RJ.Transanal coloanal pull-through with a short muscular cuff for classic Hirschsprung’s disease[J].Eur J Pediatr Surg,2003,13(3):181-186.DOI:10.1055/s-2003-41264.
[5] Rintala RJ.Long-term outcomes in newborn surgery[J].Pediatr Surg Int,2022,39(1):57.DOI:10.1007/s00383-022-05325-6.
[6] Nasr A,Langer JC.Evolution of the technique in the transanal pull-through for Hirschsprung’s disease:effect on outcome[J].J Pediatr Surg,2007,42(1):36-40.DOI:10.1016/j.jpedsurg.2006.09.028.
[7] Tang ST,Wang GB,Cao GQ,et al.10 years of experience with laparoscopic-assisted endorectal Soave pull-through procedure for Hirschsprung’s disease in China[J].J Laparoendosc Adv Surg Tech A,2012,22(3):280-284.DOI:10.1089/lap.2011.0081.
[8] 高明娟,刘远梅,祝代威.腹腔镜辅助下经肛门逐层梯度切除直肠肌鞘改良Soave术治疗小婴儿先天性巨结肠的疗效分析[J].临床小儿外科杂志,2019,18(10):839-843.DOI:10.3969/j.issn.1671-6353.2019.10.008. Gao MJ,Liu YM,Zhu DW.Laparoscopically assisted transanal gradient ablation of rectal muscle sheath for congenital megacolon in infants[J].J Clin Ped Sur,2019,18(10):839-843.DOI:10.3969/j.issn.1671-6353.2019.10.008.
[9] Mottadelli G,Erculiani M,Casella S,et al.Robotic surgery in Hirschsprung disease:a unicentric experience on 31 procedures[J].J Robot Surg,2023,17(3):897-904.DOI:10.1007/s11701-022-01488-5.
[10] Zhuansun DD,Jiao CL,Meng XY,et al.Long-term outcomes of laparoscope-assisted heart-shaped anastomosis for children with Hirschsprung disease:a 10-year review study[J].J Pediatr Surg,2020,55(9):1824-1828.DOI:10.1016/j.jpedsurg.2019.08.052.
[11] Li SX,Zhang HW,Cao H,et al.Clinical effects of ascending colon patching ileorectal heart-shaped anastomosis on total colonic aganglionosis[J].Eur Rev Med Pharmacol Sci,2017,21(4 Suppl):90-94.
[12] 黄磊,易军,王果.先天性巨结肠患儿术后远期排便功能及行为心理状态研究[J].中华小儿外科杂志,2012,33(4):284-287.DOI:10.3760/cma.j.issn.0253-3006.2012.04.011. Huang L,Yi J,Wang g.Long-term follow-up of bowel function,behaviors and psychological situations of the children underwent operations for Hirschsprung’s disease[J].Chin J Pediatr Surg,2012,33(4):284-287.DOI:10.3760/cma.j.issn.0253-3006.2012.04.011.
[13] 许芝林,肖友明,赵铮,等.经肛门行改良Swenson巨结肠根治术疗效分析[J].中华小儿外科杂志,2008,29(10):580-583.DOI: 10.3760/cma.j.issn.0253-3006.2008.10.002. Xu ZL,Xiao YM,Zhao Z,et al.Experience of modified Swenson operation for Hirschsprung’s disease[J].Chin J Pediatr Surg,2008,29(10):580-583.DOI:10.3760/cma.j.issn.0253-3006.2008.10.002.
[14] 汤绍涛,王国斌,阮庆兰.腹腔镜辅助技术在先天性巨结肠手术中的应用价值[J].中华小儿外科杂志,2007,28(7):347-350.DOI:10.3760/cma.j.issn.0253-3006.2007.07.004. Tang ST,Wang GB,Ruan QL.The role of laparoscopic-assisted approaches in the treatment of Hirschsprung’s disease[J].Chin J Pediatr Surg,2007,28(7):347-350.DOI:10.3760/cma.j.issn.0253-3006.2007.07.004.
[15] Levitt MA,Hamrick MC,Eradi B,et al.Transanal,full-thickness,Swenson-like approach for Hirschsprung disease[J].J Pediatr Surg,2013,48(11):2289-2295.DOI:10.1016/j.jpedsurg.2013.03.002.
[16] Zhang Z,Li Q,Li B,et al.Long-term Bowel function and pediatric health-related quality of life after transanal rectal mucosectomy and partial internal anal sphincterectomy pull-through for Hirschsprung Disease[J].Front Pediatr,2023,11:1099606.DOI:10.3389/fped.2023.1099606.
[17] 潘伟康,杨薇粒,郑百俊,等.腹腔镜辅助Swenson-like巨结肠根治术105例[J].临床小儿外科杂志,2018,17(2):112-116.DOI:10.3969/j.issn.1671-6353.2018.02.007. Pan WK,Yang WL,Zheng BJ,et al.Laparoscopic-assisted Swenson-like surgical approach for Hirschsprung’s disease:a report of 105 cases[J].J Clin Ped Sur,2018,17(2):112-116.DOI:10.3969/j.issn.1671-6353.2018.02.007.
[18] 曾纪晓,徐晓钢,刘斐,等.经脐单孔腹腔镜辅助下Swenson-like巨结肠根治术38例[J].临床小儿外科杂志,2021,20(9):848-851,865.DOI:10.12260/lcxewkzz.2021.09.009. Zeng JX,Xu XG,Liu F,et al.Efficacies of transumbilical laparoendoscopic single-port surgery for Hirschsprung disease in children,a report of 38 cases[J].J Clin Ped Sur,2021,20(9):848-851,865.DOI:10.12260/lcxewkzz.2021.09.009.
[19] Yokota K,Uchida H,Tainaka T,et al.Single-stage laparoscopic transanal pull-through modified Swenson procedure without leaving a muscular cuff for short-and long-type Hirschsprung disease:a comparative study[J].Pediatr Surg Int,2018,34(10):1105-1110.DOI:10.1007/s00383-018-4318-1.
[20] Yokota K,Amano H,Kudo T,et al.A novel Lugol’s Iodine staining technique to visualize the upper margin of the surgical anal canal intraoperatively for Hirschsprung disease:a case series[J].BMC Surg,2020,20(1):317.DOI:10.1186/s12893-020-00986-3.
[21] Zhang X,Yang L,Tang ST,et al.Laparoscopic duhamel procedure with ex-anal rectal transection for right-sided Hirschsprung’s disease[J].J Laparoendosc Adv Surg Tech A,2017,27(9):972-978.DOI:10.1089/lap.2016.0469.
[22] Peters NJ,Menon P,Rao KLN,et al.Modified Duhamel’s two-staged procedure for Hirschsprung’s disease:further modifications for improved outcomes[J].J Indian Assoc Pediatr Surg,2020,25(5):269-275.DOI:10.4103/jiaps.JIAPS_55_19.
[23] Wood RJ,Garrison AP.Total colonic aganglionosis in Hirschsprung disease[J].Semin Pediatr Surg,2022,31(2):151165.DOI:10.1016/j.sempedsurg.2022.151165.
[24] Meier H,Willital GH.Modified Rehbein surgical procedure using a surgical staple-progress in the treatment of Hirschsprung disease in children[J].Langenbecks Arch Chir,1987,372:751-753.DOI:10.1007/bf01297925.
[25] 王红,杨体泉,唐咸明,等.Rehbein术式改良法治疗先天性巨结肠243例[J].广西医科大学学报,2004,21(5):713-714.DOI:10.3969/j.issn.1005-930X.2004.05.035. Wang H,Yang TQ,Tang XM,et al.Modified Rehbein procedure for congenital megacolon:a report of 243 cases[J].J Guangxi Med Univ,2004,21(5):713-714.DOI:10.3969/j.issn.1005-930X.2004.05.035.
[26] Visser R,van de Ven TJ,van Rooij IALM,et al.Is the Rehbein procedure obsolete in the treatment of Hirschsprung’s disease?[J].Pediatr Surg Int,2010,26(11):1117-1120.DOI:10.1007/s00383-010-2696-0.
[27] Pan WK,Rahman AA,Ohkura T,et al.Autologous cell transplantation for treatment of colorectal aganglionosis in mice[J].Nat Commun,2024,15(1):2479.DOI:10.1038/s41467-024-46793-9.
Memo
收稿日期:2024-01-25。
基金项目:国家自然科学基金(82060100)
通讯作者:刘远梅,Email:yuanmei116@aliyun.com