For Publishers
DiscoveryMetadataPeer reviewHostingPublishing
For Researchers
JoinPublishReviewCollect
Register
Blog
About
Search
Advanced search
My ScienceOpen
Search
For Publishers
For Researchers
Blog
About
39
views
17
references
 Top references
cited by
2
    
0 reviews
 Review
0
comments
 Comment
0
recommends
+1 Recommend
0 collections
    0
    shares
      55
      similar
       All similar
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Total Laparoscopic Modified Duhamel Operation in Combination With Transanal Endoscopic Microsurgery

      case-report

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Total laparoscopic modified Duhamel procedure in combination with transanal endoscopic microsurgery is a feasible minimally invasive technique for idiopathic megacolon and adult megacolon.

          Abstract

          Introduction:

          Laparoscopic-assisted colonic resection has been well described for multiple surgical indications and typically requires an abdominal incision for specimen removal that is associated with most of the postoperative pain. We report the total laparoscopic modified Duhamel operation for megacolon in combination with transanal endoscopic microsurgery for transanal specimen retrieval and anastomosis to avoid the additional abdominal extraction incision.

          Case Description:

          Two cases are presented: case 1 was a 15-year-old boy who presented with intermittent abdominal distention, pain, and constipation for 3 years' duration and was diagnosed with Hirschsprung disease, and case 2 was a 60-year-old man who presented with repeated attacks of incomplete intestinal obstruction for 2 years' duration and was diagnosed with adult megacolon. They were treated by the total laparoscopic modified Duhamel operation without an abdominal extraction incision in combination with transanal endoscopic microsurgery. The operations were successfully accomplished without conversion to open surgery. The patients tolerated the procedure well, complained of minimal postoperative pain, and did not require narcotics beyond the day of the operation. No surgical complications occurred. Discharge from the hospital occurred on the ninth postoperative day in case 1 and the 13th postoperative day in case 2.

          Discussion:

          The total laparoscopic modified Duhamel operation in combination with transanal endoscopic microsurgery is a feasible and minimally invasive technique for idiopathic megacolon and adult megacolon. This advanced surgical technique was developed by combining laparoscopy with the concept of natural orifice transluminal endoscopic surgery.

          Related collections

          Most cited references17

          • Record: found
          • Abstract: found
          • Article: not found

          Flexible transgastric peritoneoscopy: a novel approach to diagnostic and therapeutic interventions in the peritoneal cavity.

          Anthony N. Kalloo, Vikesh K. Singh, Sanjay B Jagannath … (2004)
          A novel endoscopic peroral transgastric approach to the peritoneal cavity was tested in a porcine model in acute and long-term survival experiments. Transgastric peritoneoscopy was evaluated in 50-kg pigs. After upper endoscopy, the peritoneal cavity was accessed by needle-knife puncture of the gastric wall, followed by extension of the incision either with a pull-type sphincterotome or by balloon dilation. The peritoneal cavity was examined, and a liver biopsy specimen was obtained. The gastric wall incision was closed with clips. Twelve acute and 5 survival experiments were performed. Both techniques of gastric wall incision were without complication. The acute experiments demonstrated the technical feasibility of the approach. In the survival experiments, all pigs recovered and gained weight. The peroral transgastric approach to peritoneal cavity technically is feasible and has the potential to be an alternative to laparoscopy and laparotomy.
          Article 0 comments Cited 162 times – based on 0 reviews     Review now
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Laparoscopically assisted vs open colectomy for colon cancer: a meta-analysis.

            S Delgado, J Bonjer, A Lacy … (2007)
            To perform a meta-analysis of trials randomizing patients with colon cancer to laparoscopically assisted or open colectomy to enhance the power in determining whether laparoscopic colectomy for cancer is oncologically safe. The databases of the Barcelona, Clinical Outcomes of Surgical Therapy (COST), Colon Cancer Laparoscopic or Open Resection (COLOR), and Conventional vs Laparoscopic-Assisted Surgery in Patients With Colorectal Cancer (CLASICC) trials were the data sources for the study. Patients who had at least 3 years of complete follow-up data were selected. Patients who had undergone curative surgery before March 1, 2000, were studied. Three-year disease-free survival and overall survival were the primary outcomes of this analysis. Of 1765 patients, 229 were excluded, leaving 796 patients in the laparoscopically assisted arm and 740 patients in the open arm for analysis. Three-year disease-free survival rates in the laparoscopically assisted and open arms were 75.8% and 75.3%, respectively (95% confidence interval [CI] of the difference, -5% to 4%). The associated common hazard ratio (laparoscopically assisted vs open surgery with adjustment for sex, age, and stage) was 0.99 (95% CI, 0.80-1.22; P = .92). The 3-year overall survival rate after laparoscopic surgery was 82.2% and after open surgery was 83.5% (95% CI of the difference, -3% to 5%). The associated hazard ratio was 1.07 (95% CI, 0.83-1.37; P = .61). Disease-free and overall survival rates for stages I, II, and III evaluated separately did not differ between the 2 treatments. Laparoscopically assisted colectomy for cancer is oncologically safe.
            Article 0 comments Cited 92 times – based on 0 reviews     Review now
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Hirschsprung's disease.

              Simon E. Kenny, Merce Garcia-Belinchon, Paul Tam (2010)
              Hirschsprung's disease (HSCR) is characterized by absence of the enteric nervous system in a variable portion of the distal gut. Affected infants usually present in the days after birth with bowel obstruction. Despite surgical advances, long-term outcomes remain variable. In the last 2 decades, great advances have been made in understanding the genes and molecular biological mechanisms that underlie the disease. In addition, our understanding of normal enteric nervous system development and how motility develops in the developing fetus and infant has also increased. This review aims to draw these strands together to explain the developmental and biological basis of HSCR, and how this knowledge may be used in the future to aid children with HSCR. Crown Copyright 2010. Published by Elsevier Inc. All rights reserved.
              Article 0 comments Cited 41 times – based on 0 reviews     Review now
                Bookmark
                All references

                Author and article information

                Contributors
                Yi Han
                Mou-Bin Lin
                Ya-Jie Zhang
                Lu Yin
                Journal
                Journal ID (nlm-ta): JSLS
                Journal ID (iso-abbrev): JSLS
                Journal ID (hwp): jsls
                Journal ID (pmc): jsls
                Journal ID (publisher-id): JSLS
                Title: JSLS : Journal of the Society of Laparoendoscopic Surgeons
                Publisher: Society of Laparoendoscopic Surgeons (Miami, FL )
                ISSN (Print): 1086-8089
                ISSN (Electronic): 1938-3797
                Publication date (Print): Jan-Mar 2014
                Volume: 18
                Issue: 1
                Pages: 128-131
                Affiliations
                Department of General Surgery, RuiJin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
                Department of General Surgery, RuiJin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
                Department of General Surgery, RuiJin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
                Department of General Surgery, RuiJin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
                Author notes
                Address correspondence to: Lu Yin, MD, Department of General Surgery, RuiJin Hospital, Shanghai Jiaotong University School of Medicine, No. 197, Ruijin No. 2 Road, Shanghai, China. Telephone: +8613818062344; Fax: +8602164333045; E-mail: yindalu@ 123456yahoo.com.cn
                Article
                Publisher ID: JSLS-D-13-00063
                DOI: 10.4293/108680813X13693422520288
                PMC ID: 3939328
                PubMed ID: 24680156
                SO-VID: 2bafd6b8-d297-4fc0-a6e4-f2c2451922fd
                Copyright © © 2014 by JSLS, Journal of the Society of Laparoendoscopic Surgeons.
                License:

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License ( http://creativecommons.org/licenses/by-nc-nd/3.0/us/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way.

                History
                Categories
                Subject: Case Reports

                ScienceOpen disciplines: Surgery
                Keywords: adult megacolon,hirschsprung disease,modified duhamel operation,no abdominal incision,natural orifice transluminal endoscopic surgery
                Data availability:
                ScienceOpen disciplines: Surgery
                Keywords: adult megacolon, hirschsprung disease, modified duhamel operation, no abdominal incision, natural orifice transluminal endoscopic surgery

                Comments

                Comment on this article

                scite_

                Similar content55

                See all similar

                Cited by2

                See all cited by

                Most referenced authors168

                See all reference authors