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2017 ; 96
(10
): e6209
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Transanal pullthrough Soave and Swenson techniques for pediatric patients with
Hirschsprung disease
#MMPMID28272213
Bing X
; Sun C
; Wang Z
; Su Y
; Sun H
; Wang L
; Yu X
Medicine (Baltimore)
2017[Mar]; 96
(10
): e6209
PMID28272213
show ga
Both the Swenson and the Soave procedures have been adapted as transanal
approaches. Our purpose is to compare the outcomes and complications between
transanal Swenson and Soave procedures.This clinical analysis involved a
retrospective series of 148 pediatric patients with HD from Dec, 2001, to Dec,
2015. Perioperative/operative characteristics, postoperative complications, and
outcomes between the 2 groups were analyzed. Students' t-test and chi-squared
analysis were performed.In total 148 patients (Soave 69, Swenson 79) were
included in our study. Mean follow-up was 3.5 years. There are no significant
differences in overall hospital stay and bowel function. We noted significant
differences regarding mean operating time, blood loss, and overall complications.
We noted significant differences in mean operating time, blood loss, and overall
complications in favor of the Swenson group when compared to the Soave group
(P?0.05).According to our results, although transanal pullthrough Swenson
cannot reduce overall hospital stay and improve bowel function compared with the
Soave procedure, it results in less blood loss, shorter operation time, and a
lower complication rate.
|Digestive System Surgical Procedures/*methods/statistics & numerical data
[MESH]