Open AccessTransumbilical enterostomy for Hirschsprung's disease with a two-stage laparoscopy-assisted pull-through procedure
Author(s) -
Peipei Xu,
Xiaopan Chang,
Xi Zhang,
Shuiqing Chi,
Guoqing Cao,
Shuai Li,
Dehua Yang,
Xiangyang Li,
Shaotao Tang
Publication year - 2019
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v25.i46.6781
Subject(s) - medicine , enterostomy , surgery , enterocolitis , hirschsprung's disease , laparoscopy , stage (stratigraphy) , stoma (medicine) , general surgery , disease , paleontology , biology
A one-stage laparoscopic operation has recently been considered a favorable option for the management of patients with Hirschsprung's disease (HD) due to its superior cosmetic results. One-stage transanal endorectal pull-through for the treatment of rectosigmoid HD has been widely used in newborns without complications. However, enterostomy is required in some HD cases for enterocolitis and dilated colon. Our transumbilical enterostomy (TUE) and two-stage laparoscopy-assisted anorectoplasty were effective and achieved a similar cosmetic effect to one-stage laparoscopy on the abdominal wall in patients with anorectal malformation, but the effect in patients with HD is unclear.