Pan Weikang,Yang Weili,Zheng Baijun,et al.The laparoscopicassisted Swensonlike surgical approach for 105 cases with Hirschsprungs disease.[J].Journal of Clinical Pediatric Surgery,,17():112-116.
The laparoscopicassisted Swensonlike surgical approach for 105 cases with Hirschsprungs disease.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第17卷
Number:
2018 02
Page:
112-116
Column:
专题讨论
Date of publication:
2018-02-28
- Keywords:
- Hirschsprungs disease; Laparoscopy; Swenson; Duhamel; Soave
- Document code:
- A
- Abstract:
- ObjectiveTo sum up the therapeutic benefits,postoperative complications and experience of laparoscopicassisted Swensonlike approach for Hirschsprung’s disease.MethodsWe retrospectively analyzed our clinical data of 105 Hirschsprungs disease patients who had undergone laparoscopicassisted Swensonlike approach from March 2010 to March 2016,and assessed postoperative complications and operative techniques.ResultsAll patients were successfully treated by laparoscopicassisted approach without converting to laparotomy. The operation time of the cases averaged 115±18min (85~205 min) and the average length of resection was 35±15cm (20~65 cm). All patients (100%) had selfdefecation and automatic micturition function. In the postoperative 6 months,12 patients had enterocotis (11.4%) and 8 patients had constipation (7.6%).Of 86 male cases,the patients in 80 of them (9.9%) reported the occurrence of penile erection after the operations.ConclusionLaparoscopicassisted Swensonlike approach is an excellent technique for Hirschsprungs disease,offers excellent longterm outcomes for micturition and defecation function. Also,reduce the related complications caused by Soave Muscle sheath Duhamel pouch.
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