Laparoscopically assisted anorectal pull-through for high imperforate anus in infants: intermediate results
作者： Qiang-song Tong , Shao-tao Tang , Jia-rui Pu , Yong-zhong Mao , Yong Wang
DOI: 10.1016/J.JPEDSURG.2011.04.059
关键词:
摘要: Abstract Purpose The aim of this study was to evaluate the clinical outcomes and postoperative anal function in infants with congenital high imperforate anus treated laparoscopically assisted anorectal pull-through (LAARP). Methods From January 2004 July 2007, 33 patients (28 boys 5 girls, age ranging from 3 10 months) underwent LAARP. Clinical data LAARP group were retrospectively compared those by posterior sagittal anorectoplasty (PSARP; n=28) during same time period. Anorectal these evaluated using following methods: Kelly score, vector volume manometry, magnetic resonance imaging between ages 3.1 4.4 years. Results mean operative PSARP groups 112.5 ± 12.4 120.4 18.5 minutes ( P > .05), respectively. length hospital stay shorter than that (11.3 2.1 vs 14.6 2.3 days, .05). Compared group, lower asymmetric index, larger volume, higher canal pressure at rest voluntary squeeze observed Conclusions Satisfactory fecal continence can be achieved high-type after Laparoscopically has advantages over PSARP, including better position rectum. However, long-term follow-up is necessary compare benefits against PSARP.
elsevier.com
sci-hub.se 参考文章(30)
T. Schuster, F. Lagler, T. Pfluger, H. G. Dietz, I. Joppich, A computerized vector manometry and MRI study in children following posterior sagittal anorectoplasty. Pediatric Surgery International. ,vol. 17, pp. 48- 53 ,(2001) , 10.1007/S003830000437
Alberto Peña, Marc A Levitt, Andrew Hong, Peter Midulla, Surgical management of cloacal malformations: a review of 339 patients. Journal of Pediatric Surgery. ,vol. 39, pp. 470- 479 ,(2004) , 10.1016/J.JPEDSURG.2003.11.033
Atsuyuki Yamataka, Ryuji Yoshida, Hiroyuki Kobayashi, Geoffrey J. Lane, Yoshihisa Kurosaki, Osamu Segawa, Shingo Kameoka, Takeshi Miyano, Intraoperative endosonography enhances laparoscopy-assisted colon pull-through for high imperforate anus. Journal of Pediatric Surgery. ,vol. 37, pp. 1657- 1660 ,(2002) , 10.1053/JPSU.2002.36683
Hiroko Watayo, Kazuhiro Kaneyama, Chizue Ichijo, Yutaka Hayashi, Geoffrey J. Lane, Atsuyuki Yamataka, Is intraoperative anal endosonography necessary during laparoscopy-assisted anorectoplasty for high/intermediate type imperforate anus? Journal of Laparoendoscopic & Advanced Surgical Techniques. ,vol. 18, pp. 123- 126 ,(2008) , 10.1089/LAP.2007.0134
Mario Lima, Stefano Tursini, Giovanni Ruggeri, Antonio Aquino, Tommaso Gargano, Lorenzo De Biagi, Abuajila Ahmed, Andrea Gentili, None, Laparoscopically Assisted Anorectal Pull-Through for High Imperforate Anus: Three Years' Experience Journal of Laparoendoscopic & Advanced Surgical Techniques. ,vol. 16, pp. 63- 66 ,(2006) , 10.1089/LAP.2006.16.63
A. Vade, H. Reyes, A. Wilbur, B. Gyi, D. Spigos, The anorectal sphincter after rectal pull-through surgery for anorectal anomalies: MRI evaluation Pediatric Radiology. ,vol. 19, pp. 179- 183 ,(1989) , 10.1007/BF02388652
JUSTIN H. KELLY, The clinical and radiological assessment of anal continence in childhood. Australian and New Zealand Journal of Surgery. ,vol. 42, pp. 62- 63 ,(1972) , 10.1111/J.1445-2197.1972.TB06743.X
CL Lin, KKY Wong, LCL Lan, CC Chen, PKH Tam, None, Earlier appearance and higher incidence of the rectoanal relaxation reflex in patients with imperforate anus repaired with laparoscopically assisted anorectoplasty. Surgical Endoscopy and Other Interventional Techniques. ,vol. 17, pp. 1646- 1649 ,(2003) , 10.1007/S00464-002-9246-3
Chizue Ichijo, Kazuhiro Kaneyama, Yutaka Hayashi, Hiroyuki Koga, Tadaharu Okazaki, Geoffrey J. Lane, Yoshihisa Kurosaki, Atsuyuki Yamataka, Midterm postoperative clinicoradiologic analysis of surgery for high/intermediate-type imperforate anus: prospective comparative study between laparoscopy-assisted and posterior sagittal anorectoplasty. Journal of Pediatric Surgery. ,vol. 43, pp. 158- 163 ,(2008) , 10.1016/J.JPEDSURG.2007.09.037
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