Early and late outcomes of primary laparoscopic endorectal colon pull-through leaving a short rectal seromuscular sleeve for XXXX .

@entity1 @entity190 @entity1963 @entity515 @entity292 @entity1964 @entity204
AIM: The aim of this study was to report early and late outcomes of primary laparoscopic-assisted endorectal colon pull-through leaving a short seromuscular sleeve for @entity1963 ( @entity1963 ) in the newborn. METHODS: Laparoscopic endorectal colon pull-through was performed by using four ports. @entity515 insuffaltion pressure was around 8-10   mm Hg. The ganglionic and aganglionic segments were initially identified by seromuscular biopsies obtained laparoscopically. The rest of the procedure was carried out according to Georgeson's technique. However, we left a short rectal seromuscular sleeve of 1.5-2   cm above the dentate line. RESULTS: From January 2003 to August 2009, 47 @entity1 were operated upon by the same surgeon. Ages ranged from 3 to 30 days. The aganglionic segment was located in the rectum in 31 @entity1 , in the sigmoid colon in 15 @entity1 , and in the left colon in 1 @entity1 . The median operating time was 124 minutes. There were no perioperative @entity204 . There was no conversion to open surgery. There was minimal @entity190 during surgery. Oral intakes of clear fluid were started 12 hours after surgery and advanced to formula on the second day. The mean hospital stay was 5.1 days (range, 4-8). Follow-up, ranging from 4 to 72 months, was obtained in 42 @entity1 . Thirty @entity1 (71.4%) had 1-2 defecations/day, 10 (23.8%) had 3-4 defecations/day, and 1 (2.4%) had more than 4 defecations/day. Constipation occurred in 1 @entity1 (2.4%) and @entity1964 in 1 @entity1 (2.4%). No @entity1 had anastomotic @entity292 . Intermittent urinary did not occur in any @entity1 . Erectile function, evaluated by @entity1 's parents, was presented in all 34 males who were followed up. CONCLUSIONS: Primary laparoscopic-assisted endorectal colon pull-through leaving a short rectal seromuscular sleeve is a safe, effective procedure for @entity1963 in the newborn.
