腹腔镜辅助与完全经肛门直肠内拖出术治疗经典型先天性巨结肠症的长期疗效
Long-term outcomes of laparoscopic-assisted versus complete transanal endorectal pull-through technique for classic segment Hirschsprung's disease.
作者信息
Ban Ho Tran, Chieu Vuong Minh, Huynh Quynh Thi Vu, Thanh Tri Tran, Quang Dinh Truong, Uy Linh Truong Nguyen
机构信息
Department of Pediatric Surgery, University of Medicine and Pharmacy at Ho Chi Minh City, 217 Hong Bang, Ward 11, District 5, Ho Chi Minh City, Vietnam.
Department of Pediatric Surgery, Children's Hospital 2, 217 Hong Bang, Ward 11, District 5, Ho Chi Minh City, Vietnam.
出版信息
Pediatr Surg Int. 2024 Dec 13;41(1):26. doi: 10.1007/s00383-024-05924-5.
BACKGROUND
The efficacy of transanal endorectal pull-through (TERPT) in treating classic Hirschsprung's disease may be enhanced by incorporating laparoscopic-assisted endorectal pull-through (LERPT). This study was done to compare the long-term outcomes of TERPT and LERPT in the treatment of classic segment Hirschsprung's disease.
METHODS
Longitudinal study.
RESULTS
Between 2015 and 2019, a total of 154 patients underwent pull-through procedures. Of these, 113 were treated with TERPT and 41 with LERPT. The median operative time was significantly shorter for TERPT (109.5 min) compared to LERPT (144.6 min; p < 0.001). In terms of long-term outcomes, no significant differences were observed between the two procedures regarding complication rates and stooling patterns.
CONCLUSIONS
Both TERPT and LERPT are effective surgical approaches for children with classic segment Hirschsprung's disease. The study found no significant differences in long-term outcomes between the two techniques.
背景
经肛门直肠拖出术（TERPT）治疗典型先天性巨结肠症的疗效可能通过联合腹腔镜辅助直肠拖出术（LERPT）得到提高。本研究旨在比较TERPT和LERPT治疗典型节段性先天性巨结肠症的长期疗效。
方法
纵向研究。
结果
2015年至2019年期间，共有154例患者接受了拖出手术。其中，113例接受TERPT治疗，41例接受LERPT治疗。TERPT的中位手术时间（109.5分钟）明显短于LERPT（144.6分钟；p<0.001）。在长期疗效方面，两种手术在并发症发生率和排便模式上没有显著差异。
结论
TERPT和LERPT都是治疗典型节段性先天性巨结肠症患儿的有效手术方法。该研究发现两种技术在长期疗效上没有显著差异。
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