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Fast track surgery combined with laparoscopy in the treatment of infant Hirschsprung disease / 中华胃肠外科杂志
Chinese Journal of Gastrointestinal Surgery ; (12): 805-808, 2014.
Article in Chinese | WPRIM | ID: wpr-254412
ABSTRACT
<p><b>OBJECTIVE</b>To evaluate the safety and efficacy of fast track surgery (FTS) combined with laparoscopy in the treatment of infant Hirschsprung disease.</p><p><b>METHODS</b>Clinical data of 72 infants with Hirschsprung disease undergoing elective pull-through surgery from June 2010 to June 2013 were retrospectively summarized. The patients were divided into two groups fast track surgery combined with laparoscopy group (FTS group, n=33) and laparoscopic surgery with traditional management perioperatively (control group, n=39). Postoperative intestinal function recovery, hospital stay, cost of hospitalization, complications were compared and postoperative recovery was followed-up for four weeks.</p><p><b>RESULTS</b>There were no significant differences in intraoperative blood loss and operative time between FTS and control group (both P>0.05). The recovery of bowel movement was earlier in the FTS group but the difference was not statistically significant (P=0.078). The hospital stay was shorter [(10 ± 2) d vs. (14 ± 4) d] and cost of hospitalization was lower [(15 316 ± 2273) Yuan vs. (18 641 ± 3082) Yuan] in FTS group than those in control group(P<0.01). Postoperative complications and recovery conditions during 4 weeks follow-up were similar between the two groups.</p><p><b>CONCLUSION</b>Fast track surgery combined with laparoscopy in the treatment of infant Hirschsprung disease is safe and effective.</p>
Subject(s)
Full text: Available Index: WPRIM (Western Pacific) Main subject: General Surgery / Retrospective Studies / Treatment Outcome / Laparoscopy / Hirschsprung Disease Type of study: Observational study Limits: Female / Humans / Infant / Male Language: Chinese Journal: Chinese Journal of Gastrointestinal Surgery Year: 2014 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: General Surgery / Retrospective Studies / Treatment Outcome / Laparoscopy / Hirschsprung Disease Type of study: Observational study Limits: Female / Humans / Infant / Male Language: Chinese Journal: Chinese Journal of Gastrointestinal Surgery Year: 2014 Type: Article