SUN Chi,YU Zeng wen,LI Suo lin,et al.Transumbilical single port laparoscopy hybrid transanal endorectal pullthrough for Hirschsprung’s disease.[J].Journal of Clinical Pediatric Surgery,,10():0.
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Transumbilical single port laparoscopy hybrid transanal endorectal pullthrough for Hirschsprung’s disease.

Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R] volume: 第10卷 Number: 2011 01 Page: 0 Column: Date of publication: 2011-02-28
Author(s):
SUN Chi;  YU Zengwen;  LI Suolin;  et al.
Department of Pediatric Surgery, 2nd Hospital of Hebei Medical University, Shijiazhuang, 050000, China
Keywords:
Laparoscopes; Hirschsprung disease; Rectum
Abstract:
Objective To explore the feasibility and outcomes of single port laparoscopy with transanal endorectal pullthrough for Hirschsprung’s disease and allied disorder.MethodsFrom March to November 2010, 15 infants and children with Hirschsprung’s diseaseallied disorder underment a transumbilical single port laparoscopic Soave procedure.Under the laparoscopie vision,the left hemicolon or whole colon were mobilized via rectal muscular sleeve access, then transanal endorectal pullthrough to complete a rectosigmoidectomy or subtotal colectomy.ResultsAll operations were completed successfully. Rectosigmoidectomy were performed in 11 cases, subtotal colectomy in 4 cases. The average operative time was 138±18min (range, 105 to 225min). The lengrh of the resected segment was 35~80cm, and the estimated blood loss was 5~20mL. There were no unanticipated intraoperative or postoperative complications. At the time of followup, 13 children had no stoma stenosis or constipation recurrence, and the result of anorectal manometry was good.ConclusionsTransumbilical single port laparoscopic Soave operation is a safe, effective and feasible procedure, with more minimal invasion, invisible scars in the abdomen, and nearly the cosmetic result of NOTES.

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Memo

作者单位：河北医科大学第二医院小儿外科（石家庄市，050000），通讯作者：李索林，Email:lisuolin@263.net，本研究为国家“十一五”科技支撑计划资助项目（2006BAI05A06）

Last Update: 2011-02-28