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Pediatric Surgery International
Published in: Pediatric Surgery International 2/2018

01-02-2018 | Original Article

Hirschsprung’s disease in the laparoscopic transanal pull-through era: implications of age at surgery and technical aspects

Authors: Go Miyano, Masahiro Takeda, Hiroyuki Koga, Manabu Okawada, Nana Nakazawa-Tanaka, Junya Ishii, Takashi Doi, Geoffrey J. Lane, Tadaharu Okazaki, Masahiko Urao, Atsuyuki Yamataka

Published in: Pediatric Surgery International | Issue 2/2018

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Abstract

Aim

Detailed implications of age at laparoscopic transanal pull-through (LTAPT) on postoperative bowel function (POBF) in Hirschsprung’s disease (HD) are somewhat obscure because of a spectrum of factors.

Methods

Age at surgery was used to categorize 106 consecutive postoperative HD cases treated by our modified LTAPT (JLTPAT) between 1997 and 2015; group A: < 3 months old (n = 31); group B: 3–11 months old (n = 44); group C: 1–3 years old (n = 19); and group D: ≥ 4 years old (n = 12). POBF was assessed by reviewing outpatient records 1, 3, 5, 7, and 10 years after JLTAPT prospectively and scoring each of 5 criteria on a scale of 0–2; best score = 10.

Results

Only operative time was statistically longer in group D versus groups A, B, and C. Differences in gender ratios, blood loss, duration of follow-up, and POBF scores were not statistically significant. Mean POBF scores over time were: group A: 6.8, 7.6, 8.4, 8.6, and 8.4; group B: 7.1, 7.8, 8.3, 8.5, and 9.0; group C: 6.9, 7.9, 8.1, 8.3, and 8.6; group D: 7.0, 7.4, 8.2, 8.1, and 8.5, respectively.

Conclusion

Age at JLTAPT was not correlated with POBF in HD.
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Metadata
Title
Hirschsprung’s disease in the laparoscopic transanal pull-through era: implications of age at surgery and technical aspects
Authors
Go Miyano
Masahiro Takeda
Hiroyuki Koga
Manabu Okawada
Nana Nakazawa-Tanaka
Junya Ishii
Takashi Doi
Geoffrey J. Lane
Tadaharu Okazaki
Masahiko Urao
Atsuyuki Yamataka
Publication date
01-02-2018
Publisher
Springer Berlin Heidelberg
Published in
Pediatric Surgery International / Issue 2/2018
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI
https://doi.org/10.1007/s00383-017-4187-z

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