Intraoperative endosonography enhances laparoscopy-assisted colon pull-through for high imperforate anus.

作者: Atsuyuki Yamataka , Ryuji Yoshida , Hiroyuki Kobayashi , Geoffrey J. Lane , Yoshihisa Kurosaki

DOI: 10.1053/JPSU.2002.36683

关键词:

摘要: Abstract Purpose: The authors used ultrasonographic endoprobes during laparoscopy-assisted colon pull-through (LACPT) for the repair of high imperforate anus to confirm canal was surrounded symmetrically by pelvic floor muscles. Methods: Six patients with were treated LACPT (mean age at LACPT, 8.2 months). An endoscopic (12-MHz, 2.5-mm in diameter) and proctoscopic (7.5-MHz, 12-mm probe inserted into proposed route dissection intraoperatively measure thickness surrounding muscle tissue least 3 levels: external anal sphincter, levator ani sling, intervening complex. Results: average sphincter 2.3 ± 0.4 mm anteriorly, 2.4 on left, 0.5 posteriorly, 2.6 0.6 right. complex 2.2 2.1 left crus 1.8 0.3 mm, right 1.9 rim located posterior rectum 2.0 mm. No statistically significant difference found between measurements taken each level. Conclusion: Intraoperative endosonography can greatly enhance precision positioning canal. J Pediatr Surg 37:1657-1660. Copyright 2002, Elsevier Science (USA). All rights Reserved.

参考文章(9)
Peter S. Liebert, Color Atlas of Pediatric Surgery ,(1989)
Penelope J. Law, Clive I. Bartram, Anal endosonography: technique and normal anatomy. Abdominal Imaging. ,vol. 14, pp. 349- 353 ,(1989) , 10.1007/BF01889235
Ryoichi Fukata, Naomi Iwai, Jun Yanagihara, George Iwata, Yoshihiro Kubota, A comparison of anal endosonography with electromyography and manometry in high and intermediate anorectal anomalies Journal of Pediatric Surgery. ,vol. 32, pp. 839- 842 ,(1997) , 10.1016/S0022-3468(97)90632-1
A. H. Sultan, R. J. Nicholls, M. A. Kammt, C. N. Hudson, J. Beynon, C. I. Bartram, Anal endosonography and correlation with in vitro and in vivo anatomy British Journal of Surgery. ,vol. 80, pp. 508- 511 ,(2005) , 10.1002/BJS.1800800435
Ragnhild Emblem, Trond Diseth, Lars Mørkrid, Ragnar Stien, Roald Bjordal, Anal endosonography and physiology in adolescents with corrected low anorectal anomalies Journal of Pediatric Surgery. ,vol. 29, pp. 447- 451 ,(1994) , 10.1016/0022-3468(94)90589-4
Atsuyuki Yamataka, Osamu Segawa, Ryuji Yoshida, Hiroyuki Kobayashi, Shingo Kameoka, Takeshi Miyano, Laparoscopic muscle electrostimulation during laparoscopy-assisted anorectal pull-through for high imperforate anus. Journal of Pediatric Surgery. ,vol. 36, pp. 1659- 1661 ,(2001) , 10.1053/JPSU.2001.27944
Keith E. Georgeson, Thomas H. Inge, Craig T. Albanese, Laparoscopically assisted anorectal pull-through for high imperforate anus—A new technique Journal of Pediatric Surgery. ,vol. 35, pp. 927- 931 ,(2000) , 10.1053/JPSU.2000.6925
Ragnhild Emblem, Gonda Dhaenens, Ragnar Stien, Lars Mørkrid, Ansgar O. Aasen, Anstein Bergan, The importance of anal endosonography in the evaluation of idiopathic fecal incontinence Diseases of The Colon & Rectum. ,vol. 37, pp. 42- 48 ,(1994) , 10.1007/BF02047213
Abdul H. Sultan, Michael A. Kamm, Christopher N. Hudson, Janice M. Thomas, Clive I. Bartram, Anal-sphincter disruption during vaginal delivery The New England Journal of Medicine. ,vol. 329, pp. 1905- 1911 ,(1993) , 10.1056/NEJM199312233292601