Results of rectoanal manometry after a novel laparoscopic technique: laparoscope-assisted heart-shaped anastomosis for Hirschsprung's disease
Results of rectoanal manometry after a novel laparoscopic technique: laparoscope-assisted heart-shaped anastomosis for Hirschsprung's disease
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DOI：
10.1007/s00383-019-04474-5
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发表时间：
2019-06-01
影响因子：
1.8
通讯作者：
Feng, Jiexiong
中科院分区：
文献类型：
--
作者：
Jiao, Chunlei;Li, Dandan;Feng, Jiexiong
PurposeThe目前的研究利用中期随访研究，以评估腹腔镜辅助心形吻合术（LHSA）治疗先天性巨结肠症（HSCR）后肛门直肠测压的结果，并将其与更普遍应用的方法，腹腔镜辅助Soave手术（LSP）进行比较。术后，肛门直肠测压由门诊进行。记录术前和术后肛门括约肌静息压、肛管长度、肛门收缩幅度和肛门收缩频率。此外，中期并发症也monitored.ResultsPreoperative测压显示LHSA和LSP组之间没有统计学显着差异。术后，LHSA组的肛门括约肌静息压较低（60.649.33 vs. 68.84 +/-11.80 mmHg，p=0.001）。此外，LHSA组的肛管长度短于LSP组（1.41 +/- 0.18 vs. 1.53 +/- 0.25cm，p=0.015）。LHSA组和LSP组之间的肛门收缩频率也存在统计学显著差异（13.53 +/- 2.17 vs. 12.50 +/- 2.03/min，p=0.032）。并发症发生率无显著差异，如下所示：小肠结肠炎发生率LHSA组为13.89%，LSP组为20.45%，便秘发生率LHSA组为11.11%，LSP组为27.27%，LHSA术后污物发生率为13.89%，LSP术后污物发生率为25.00%。结论pid = Par 4的测压结果显示LHSA术后效果满意。LHSA是一种先进的外科技术，使肠吻合容易，并确保良好的预后。
PurposeThe present research utilizes a mid-term follow-up study to assess the results of anorectal manometry after laparoscope-assisted heart-shaped anastomosis (LHSA) for Hirschsprung's disease (HSCR), and compares it to a more generally applied approach, the laparoscope-assisted Soave procedure (LSP).MethodsRetrospectively, patients from January 2015 to June 2017 who received LHSA or LSP were included in this study. After surgery, anorectal manometry was performed by the outpatient department. Anal sphincter resting pressure, anal canal length, amplitude of anal contraction, and frequency of anal contraction pre- and postoperatively were recorded. Additionally, mid-term complications were also monitored.ResultsPreoperative manometry showed no statistically significant difference between the LHSA and LSP groups. Postoperatively, anal sphincter resting pressure was lower in the LHSA group (60.649.33 vs. 68.84 +/- 11.80mmHg, p=0.001). Furthermore, anal canal length of the LHSA group was shorter than that of the LSP group (1.41 +/- 0.18 vs. 1.53 +/- 0.25cm, p=0.015). Frequency of anal contraction also showed a statistically significant difference between the LHSA and LSP groups (13.53 +/- 2.17 vs. 12.50 +/- 2.03 per minute, p=0.032). The complication rates showed no significant difference and were as follows: incidence of enterocolitis was 13.89% in the LHSA group and 20.45% in the LSP group, incidence of constipation was 11.11% after LHSA and 27.27% after LSP, and incidence of soiling was 13.89% after LHSA and 25.00% after LSP.Conclusions p id=Par4 Manometric results of this study show satisfactory outcomes after LHSA. LHSA is an advanced surgical technique to make intestinal anastomosis easy and ensure a good prognosis.