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| Clinical effect of laparoscopic-assisted transanal gradient excision of rectalmuscle sheath and modified Soave operation on Hirschsprung′s disease in children |
| ZHAO Jing-quan ZHANG Zheng-mao ZHOU Peng |
| Department of Pediatric Surgery,Zibo Maternal and Child Health Hospital,Shandong Province,Zibo 255000,China |
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Abstract Objective To investigate the clinical effect of laparoscopic-assisted transanal gradient excision of rectal muscle sheath and modified Soave operation on Hirschsprung′s disease in children.Methods A total of 100 caseswith Hirschsprung′s disease admitted in our hospital from May 2015to August 2019 were divided into two groups according to the random number table method,50 cases in each group.The observation group received laparoscopic-assisted transanal gradient resection of rectalmuscle sheath layer by layer and modified Soave operation,the control group received traditional transanalmodified Soave operation.The length of the colon resection,the length of the surgical incision,the surgical-related indicators (surgery time,intraoperative bleeding,exhaust time,postoperative hospital stay),complications,pain of postoperative 1day,1week,and 1month were compared between two groups.Results The length of colon resection and incision in the observation group were shorter than those in the control group,the operation time in the observation group was shorter than that in the control group,the intraoperative hemorrhage was less than that in the control group,the anal exhaust time was earlier than that in the control group,the postoperative hospitalization time was shorter than that in the control group,the total proportion of intestinal obstruction,intestinal fistula,infection and anemia in the observation group were lower than those in the control group,the postoperative pain scores of postoperative 1day,1week,and 1month in the observation group were lower than those in the control group,the differenceswere all statistically significant(P＜0.05).Conclusion For Hirschsprung′s disease in children,laparoscopic assisted transanal gradient excision of rectalmuscle sheath layer by layer modified Soave operation has less trauma,rapid postoperative recovery,fewer complications and low postoperative pain in children.
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