Cargando…
Suspension sutures facilitate single-incision laparoscopic-assisted rectal pull-through for Hirschsprung disease
BACKGROUND: To present a surgical technique of single-incision laparoscopic-assisted endorectal pull-through (SILEP) with suspension sutures using conventional instruments for Hirschsprung disease (HD) and its long-term follow-up outcomes. METHODS: The procedure began with a 1 cm transumbilical skin...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8166018/ https://www.ncbi.nlm.nih.gov/pubmed/34059040 http://dx.doi.org/10.1186/s12893-021-01260-w |
_version_ | 1783701431608410112 |
---|---|
author | Nguyen, Liem Thanh Nguyen, Anh Tho Nguyen, Quang Thanh Tran, Quynh Anh Bui, Hau Duc Pham, Hien Duy |
author_facet | Nguyen, Liem Thanh Nguyen, Anh Tho Nguyen, Quang Thanh Tran, Quynh Anh Bui, Hau Duc Pham, Hien Duy |
author_sort | Nguyen, Liem Thanh |
collection | PubMed |
description | BACKGROUND: To present a surgical technique of single-incision laparoscopic-assisted endorectal pull-through (SILEP) with suspension sutures using conventional instruments for Hirschsprung disease (HD) and its long-term follow-up outcomes. METHODS: The procedure began with a 1 cm transumbilical skin incision. Three separate punctures were made in the fascia with a 5 mm scope in the middle and 5 mm and 3 mm ports for working instruments on the left and right, respectively. The first suspension suture was placed to secure the sigmoid colon to the abdominal wall. A window was created through the rectal mesentery, and dissection around the rectum was carried out. The second suspension suture was performed to suspend the rectovesical peritoneal fold or the rectovaginal peritoneal fold to the abdominal wall. Dissection around the rectum was continued downward to approximately 1 cm below the peritoneal fold. Then, the operation was completed by a transanal approach. RESULTS: Forty patients underwent SILEP from March 2013 to April 2015. The median age was 2.7 months (ranging from 1 to 17 months). The mean operative time was 96 ± 23 min. No conversion to an open operation was required. The average hospitalization time was 4.5 ± 2 days. There were no intraoperative or perioperative complications. Long-term follow-up results were obtained from 38 patients. A frequency of defecation from every other day to twice a day was noted for 33 patients (86.8%) and more often for 5 patients (13.2%). Two patients had enterocolitis (5.2%). CONCLUSION: Single-incision laparoscopic rectal pull-through with suspension sutures using conventional instruments is feasible and safe for HD with good long-term outcomes. |
format | Online Article Text |
id | pubmed-8166018 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-81660182021-06-02 Suspension sutures facilitate single-incision laparoscopic-assisted rectal pull-through for Hirschsprung disease Nguyen, Liem Thanh Nguyen, Anh Tho Nguyen, Quang Thanh Tran, Quynh Anh Bui, Hau Duc Pham, Hien Duy BMC Surg Technical Advance BACKGROUND: To present a surgical technique of single-incision laparoscopic-assisted endorectal pull-through (SILEP) with suspension sutures using conventional instruments for Hirschsprung disease (HD) and its long-term follow-up outcomes. METHODS: The procedure began with a 1 cm transumbilical skin incision. Three separate punctures were made in the fascia with a 5 mm scope in the middle and 5 mm and 3 mm ports for working instruments on the left and right, respectively. The first suspension suture was placed to secure the sigmoid colon to the abdominal wall. A window was created through the rectal mesentery, and dissection around the rectum was carried out. The second suspension suture was performed to suspend the rectovesical peritoneal fold or the rectovaginal peritoneal fold to the abdominal wall. Dissection around the rectum was continued downward to approximately 1 cm below the peritoneal fold. Then, the operation was completed by a transanal approach. RESULTS: Forty patients underwent SILEP from March 2013 to April 2015. The median age was 2.7 months (ranging from 1 to 17 months). The mean operative time was 96 ± 23 min. No conversion to an open operation was required. The average hospitalization time was 4.5 ± 2 days. There were no intraoperative or perioperative complications. Long-term follow-up results were obtained from 38 patients. A frequency of defecation from every other day to twice a day was noted for 33 patients (86.8%) and more often for 5 patients (13.2%). Two patients had enterocolitis (5.2%). CONCLUSION: Single-incision laparoscopic rectal pull-through with suspension sutures using conventional instruments is feasible and safe for HD with good long-term outcomes. BioMed Central 2021-05-31 /pmc/articles/PMC8166018/ /pubmed/34059040 http://dx.doi.org/10.1186/s12893-021-01260-w Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Technical Advance Nguyen, Liem Thanh Nguyen, Anh Tho Nguyen, Quang Thanh Tran, Quynh Anh Bui, Hau Duc Pham, Hien Duy Suspension sutures facilitate single-incision laparoscopic-assisted rectal pull-through for Hirschsprung disease |
title | Suspension sutures facilitate single-incision laparoscopic-assisted rectal pull-through for Hirschsprung disease |
title_full | Suspension sutures facilitate single-incision laparoscopic-assisted rectal pull-through for Hirschsprung disease |
title_fullStr | Suspension sutures facilitate single-incision laparoscopic-assisted rectal pull-through for Hirschsprung disease |
title_full_unstemmed | Suspension sutures facilitate single-incision laparoscopic-assisted rectal pull-through for Hirschsprung disease |
title_short | Suspension sutures facilitate single-incision laparoscopic-assisted rectal pull-through for Hirschsprung disease |
title_sort | suspension sutures facilitate single-incision laparoscopic-assisted rectal pull-through for hirschsprung disease |
topic | Technical Advance |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8166018/ https://www.ncbi.nlm.nih.gov/pubmed/34059040 http://dx.doi.org/10.1186/s12893-021-01260-w |
work_keys_str_mv | AT nguyenliemthanh suspensionsuturesfacilitatesingleincisionlaparoscopicassistedrectalpullthroughforhirschsprungdisease AT nguyenanhtho suspensionsuturesfacilitatesingleincisionlaparoscopicassistedrectalpullthroughforhirschsprungdisease AT nguyenquangthanh suspensionsuturesfacilitatesingleincisionlaparoscopicassistedrectalpullthroughforhirschsprungdisease AT tranquynhanh suspensionsuturesfacilitatesingleincisionlaparoscopicassistedrectalpullthroughforhirschsprungdisease AT buihauduc suspensionsuturesfacilitatesingleincisionlaparoscopicassistedrectalpullthroughforhirschsprungdisease AT phamhienduy suspensionsuturesfacilitatesingleincisionlaparoscopicassistedrectalpullthroughforhirschsprungdisease |