Abstract
Our laparoscopic modified Duhamel procedure with a Z-shaped anastomosis is presented along with some technical points. Between 2001 and 2016, a total of 51 children with Hirschsprung’s disease (HD) underwent a laparoscopic modified Duhamel procedure. The frequency of defecation decreased gradually after surgery, and more than half of the patients experienced episodes of constipation during the early follow-up period. However, the need for medication to treat constipation decreased as the children grew older. All patients over 4 years of age, excluding patients with trisomy 21, achieved normal defecation. No patients, other than those with trisomy 21, experienced fecal and/or urinary incontinence. The laparoscopic modified Duhamel procedure provided satisfactory long-term results.
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Urushihara, N. (2019). Laparoscopic Modified Duhamel Procedure. In: Taguchi, T., Matsufuji, H., Ieiri, S. (eds) Hirschsprung’s Disease and the Allied Disorders. Springer, Singapore. https://doi.org/10.1007/978-981-13-3606-5_18
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DOI: https://doi.org/10.1007/978-981-13-3606-5_18
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