Experience with primary laparoscopy-assisted endorectal pull-through for XXXX .

@entity1 @entity1963 @entity86 @entity1964 @entity694 @entity4570
From October 1996 to July 2001, 61 @entity1 received primary laparoscopy-assisted endorectal pull-through (LAERPT) for biopsy-proven @entity1963 ( @entity1963 ) at Mackay Memorial Hospital. The @entity1 ' ages at operation ranged from 7 days to 8 years. The @entity1 were followed up for an average of 3.8 years (range 1-5.5 years). Major complications occurred in five (8.1%) @entity1 , of whom four had surgical complications (two instances of anastomotic leakage, one @entity694 , and one delayed formation of @entity4570 ) and one had postoperative Salmonella infection-induced @entity694 . The five @entity1 required a diverting colostomy and a redo-pull-through procedure. @entity86 developed in 13 (21%) @entity1 . All of them had @entity1964 before the diagnosis of @entity1963 was established. The majority of the episodes of @entity86 were mild and resolved spontaneously, but four neonates were hospitalized with significant systemic manifestations, and two of them needed a second operation to solve the problem. After primary LAERPT, stooling frequency in young @entity1 declined rapidly from 10.5+/-3.2 to 4.4+/-1.6 bowel movements per day in the first 3 months and more slowly thereafter. Most of these @entity1 had regular bowel movements one to two times per day 1 year after operation. Continence evaluation of the 43 @entity1 over 3 years of age was graded as normal in 24 (56%) @entity1 and good in 19 (44%) @entity1 . Of the 13 @entity1 between 1 and 3 years of age, 11 (85%) had regular normal stools, and two (15%) had occasional soiling. From the current study, the authors concluded that primary LAERPT is a safe and effective method of managing @entity1963 with excellent continence results. Considering the complications of surgery and @entity86 , @entity1 with long segment @entity1963 , severe @entity1964 , or prominently dilated colon are not good candidates for primary LAERPT.
