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- Title
Hirschsprung's disease in the laparoscopic transanal pull-through era: implications of age at surgery and technical aspects.
- Authors
Miyano, Go; Takeda, Masahiro; Koga, Hiroyuki; Okawada, Manabu; Nakazawa-Tanaka, Nana; Ishii, Junya; Doi, Takashi; Lane, Geoffrey J.; Okazaki, Tadaharu; Urao, Masahiko; Yamataka, Atsuyuki
- Abstract
<bold>Aim: </bold>Detailed implications of age at laparoscopic transanal pull-through (LTAPT) on postoperative bowel function (POBF) in Hirschsprung's disease (HD) are somewhat obscure because of a spectrum of factors.<bold>Methods: </bold>Age at surgery was used to categorize 106 consecutive postoperative HD cases treated by our modified LTAPT (JLTPAT) between 1997 and 2015; group A: < 3 months old (n = 31); group B: 3-11 months old (n = 44); group C: 1-3 years old (n = 19); and group D: ≥ 4 years old (n = 12). POBF was assessed by reviewing outpatient records 1, 3, 5, 7, and 10 years after JLTAPT prospectively and scoring each of 5 criteria on a scale of 0-2; best score = 10.<bold>Results: </bold>Only operative time was statistically longer in group D versus groups A, B, and C. Differences in gender ratios, blood loss, duration of follow-up, and POBF scores were not statistically significant. Mean POBF scores over time were: group A: 6.8, 7.6, 8.4, 8.6, and 8.4; group B: 7.1, 7.8, 8.3, 8.5, and 9.0; group C: 6.9, 7.9, 8.1, 8.3, and 8.6; group D: 7.0, 7.4, 8.2, 8.1, and 8.5, respectively.<bold>Conclusion: </bold>Age at JLTAPT was not correlated with POBF in HD.
- Subjects
HIRSCHSPRUNG'S disease; LAPAROSCOPIC surgery; SURGICAL complications; BLOOD loss estimation; FOLLOW-up studies (Medicine); THERAPEUTICS
- Publication
Pediatric Surgery International, 2018, Vol 34, Issue 2, p183
- ISSN
0179-0358
- Publication type
journal article
- DOI
10.1007/s00383-017-4187-z