Contrubition of Laparoscopic Level Determination on Hirschsprung Disease Diagnosis and Management
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Original Article
P: 218-221
September 2018

Contrubition of Laparoscopic Level Determination on Hirschsprung Disease Diagnosis and Management

Med Bull Haseki 2018;56(3):218-221
1. Ankara Üniversitesi Tıp Fakültesi, Çocuk Cerrahisi Anabilim Dalı, Ankara, Türkiye
No information available.
No information available
Received Date: 01.12.2017
Accepted Date: 01.02.2018
Publish Date: 20.09.2018
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ABSTRACT

Aim:

Laparoscopic-assisted transanal pull-through (LATP) is a procedure that has gained increasing popularity in the management of Hirschsprung’s disease. The purpose of this study was to compare outcomes of patients treated with LATP and transanal pull-through (TPT).

Methods:

Records of 45 patients with Hirschsprung’s disease who underwent surgery between 2006 and 2017 were retrospectively evaluated.

Results:

LATP was performed in 16 patients [13 male (81%), three female (19%)]. The median age of the patients was four months (7 days-84 months). Twenty nine patients [21 male (72.4%), eight female (27.6%)] underwent TPT. The median age of the patients was 11 months (10 days-90 months). The mean time to start feeding in LATP and TPT groups was two days (one-three days) and 2.6 days, respectively (p=0.074). The mean operative time was 2.6 hours in the LATP group (two-four hours) and 2.7 hours in the TPT group (p=0.971). The mean length of hospital stay in for LATP and TPT groups was 4.8 days (two-nine days) and six days (3-14 days), respectively (p=0.305).

Conclusion:

The advantages of LATP include multiple sample collection from several segments of the colonn at the same time as well as shorter time to frozen section diagnosis. In addition, the possibility of intraabdominal dissection allows transanal surgery to be faster and more effective.

References

1
Tomuschat C, Zimmer J, Puri P. Laparoscopic-assisted pull-through operation for Hirschsprung’s disease: a systematic review and meta-analysis. Pediatr Surg Int 2016;32:751-7.
2
Langer JC. Laparoscopic and transanal pull-through for Hirschsprung disease. Semin Pediatr Surg 2012;21:283-90.
3
Dasgupta R, Langer JC. Transanal pull-through for Hirschsprung disease. Semin Pediatr Surg 2005;14:64-71.
4
Guerra J, Wayne C, Musambe T, Nasr A. Laparoscopic-assisted transanal pull-through (LATP) versus complete transanal pull-through (CTP) in the surgical management of Hirschsprung’s disease. J Pediatr Surg 2016;51:770-4.
5
Dahal GR, Wang JX, Guo LH. Long-term outcome of children after single-stage transanal endorectal pull-through for Hirschsprung’s disease. World J Pediatr 2011;7:65-9.
6
Georgeson KE, Robertson DJ. Laparoscopic-assisted approaches for the definitive surgery for Hirschsprung’s disease. Semin Pediatr Surg 2004;13:256-62.
7
van de Ven TJ, Sloots CE, Wijnen MH, et al. Transanal endorectal pull-through for classic segment Hirschsprung’s disease: with or without laparoscopic mobilization of the rectosigmoid? J Pediatr Surg 2013;48:1914-8.
8
Gosemann JH, Friedmacher F, Ure B, Lacher M. Open versus transanal pull-through for Hirschsprung disease: a systematic review of long-term outcome. Eur J Pediatr Surg 2013;23:94-102.
9
De la Torre-Mondragón L, Ortega-Salgado JA. Transanal endorectal pull-through for Hirschsprung’s disease. J Pediatr Surg 1998;33:1283-6.
10
Keckler SJ, Yang JC, Fraser JD, et al. Contemporary practice patterns in the surgical management of Hirschsprung’s disease. J Pediatr Surg 2009;44:1257-60.
11
Obermayr F, Szavay P, Beschorner R, Fuchs J. Outcome of transanal endorectal pull-through in patients with Hirschsprung’s disease. Eur J Pediatr Surg 2009;19:220-3.