Zeng Jixiao,Xu Xiaogang,Liu Fei,et al.Efficacies of transumbilical laparoendoscopic single-port surgery for Hirschsprung disease in children,a report of 38 cases[J].Journal of Clinical Pediatric Surgery,,20():848-851,865.[doi:10.12260/lcxewkzz.2021.09.009]
Efficacies of transumbilical laparoendoscopic single-port surgery for Hirschsprung disease in children,a report of 38 cases
- Keywords:
- Hirschsprung Disease/DI; Hirschsprung Disease/SU; Laparoscopy; Postoperative Complications; Treatment Outcome
- CLC:
- R726.1;R574
- Abstract:
- Objective To evaluate the safety, efficacy and cosmetic outcomes of transumbilical laparoendoscopic single-port (LESP) surgery (Swenson-like approach) for Hirschsprung disease (HSCR) in children.Methods From June 2018 to June 2019, retrospective analysis was performed for clinical data of 38 HSCR children.There were 27 boys and 11 girls with an average age of (7±3) months.LESP was performed by the same surgeon.And postoperative complications and defecations were assessed through outpatient and telephone or internet follow-ups.Results All of them were successfully managed by LESP (Swenson-like approach) without a conversion into laparotomy.The average operative duration was (126±21) min, intraoperative volume of blood loss (5±1) ml, average length of resection (24±17) cm, recovery time of bowel function (15±4) hours, postoperative hospital stay (6±2) days and postoperative pain score (3±1) points.Twenty-one boys reported involuntary postoperative penile erection.During a postoperative period of 6-18 months, the major complications were fecal stool (7.89%) and enterocolitis (5.26%).There was no occurrence of other complications.Scar was invisible.Conclusion Both safe and efficacious for HSCR, LESP surgery (Swenson-like approach) can completely remove ganglion-free intestinal segment without muscle sheath.Its short-term cosmetic outcomes are excellent.
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Memo
收稿日期:2020-02-05。
基金项目:国家自然科学基金（编号：82170528），广东省自然科学基金（编号：2018A030313570）
通讯作者:曾纪晓,Email:zengjixiao@163.com