Abstract
Five consecutive infants had a laparoscopic Duhamel-Martin procedure without colostomy for Hirschsprung's disease. No major problems occured, but the procedures were long-lasting, requiring postoperative intensive care for 1 night in four of teh five patients. In on patient the procedure was converted to an open one, as the quality of the anastomosis was doubtful. It is concluded that the Duhammel-Martin procedure can be carried out safely in a one-stage operation in young infants using a laparoscopic approach.
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References
Airan M, Appel M, Berci G, Coburg AJ, Cohen M, Cushieri A, et al (1992) Retrospective and prospective multi-institutional laparoscopic cholecystectomy study organized by the Society of American Gastrointestinal Endoscopic Surgeons. Surg Endosc 6: 169–176
Ambroze WL, Orangio GR, Tucker JG, Baird D, Herndo M, Lucas GW (1993) Laparoscopically assisted proctocolectomy with extracorporeal transanal anastomosis. Surg Endosc 7: 29–32
Carcassonne M, Guys JM, Morisson-Lacombe G, Kreitmann B (1989) Management of Hirschsprung's disease: curative surgery before 3 months of age. J Pediatr Surg 24: 1032–1034
Duhamel B (1956) Une nouvelle opération pour le mégacôlon congénitale: l'abaissement rétrorectal et trans-anal du côlon et son application possible au traitement de quelques autres malformations. Presse Med 64: 2249–2250
Martin LW (1986) Duhamel's procedure — Martin's method. In: Welch KJ, Randolph JG, Ravitch MM, et al. (eds) Pediatric surgery, 4th edn. Yearbook Medical Publishers, London, pp 1017–1018
Schrock TR (1992) The endosurgery evolution: no place for sacred cows. Surg Endosc 6: 163–168
Spitz L (1994) Editorial: Paediatric surgery. Paediatr Anaesth 4: 145–146
Tunell WP, (1993) Discussion following the paper presesentation: Laparoscopic Nissen fundoplication in childhood, presented by Lobe TE, Schropp KP, Kunsford K. J Pediatr Surg 28: 358–361
Voyles CR, Tucker RD (1992) Eduction and engineering solutions for potenetial problems with laparoscopic monopolar electro-surgery. Am J Surg 164: 57–62
Zee DC Van der, Bax NMA, Pull ter Gunne AJ, Rövekamp MH (1993) Use of EndoGIA stapling device in Duhamel-Martin procedure for Hirschsprung's disease. Pediatr Surg Int 8: 447–448
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Bax, N.M.A., van der Zee, D.C. Laparoscopic removal of aganglionic bowel using the Duhamel-Martin method in five consecutive infants. Pediatr Surg Int 10, 226–228 (1995). https://doi.org/10.1007/BF00177165
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DOI: https://doi.org/10.1007/BF00177165