Contrubition of Laparoscopic Level Determination on Hirschsprung Disease Diagnosis and Management
Journal Title: HASEKİ TIP BÜLTENİ - Year 2018, Vol 56, Issue 3
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.
Authors and Affiliations
Ufuk Ateş, Kutay Bahadır, Gülnur Göllü, Nil Yaşam Taştekin, Ergun Ergün, Meltem Bingöl-Koloğlu, Murat Çakmak, Tanju Aktuğ, Hüseyin Dindar, Aydın Yağmurlu
Keywords
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- EP ID EP392685
- DOI 10.4274/haseki.4007
- Views 64
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