Xu PP, Chang XP, Zhang X, Chi SQ, Cao GQ, Li S, Yang DH, Li XY, Tang ST. Transumbilical enterostomy for Hirschsprung's disease with a two-stage laparoscopy-assisted pull-through procedure. World J Gastroenterol 2019; 25(46): 6781-6789 [PMID: 31857779 DOI: 10.3748/wjg.v25.i46.6781]
Corresponding Author of This Article
Shao-Tao Tang, MD, PhD, Chief Doctor, Full Professor, Department of Pediatric Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Avenue, Wuhan 430022, Hubei Province, China. tshaotao83@126.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. Dec 14, 2019; 25(46): 6781-6789 Published online Dec 14, 2019. doi: 10.3748/wjg.v25.i46.6781
Table 1 Characteristics and operative data during enterostomy
Characteristic
TUE (n = 24)
CAE (n = 29)
P value
Age at enterostomy (mo)
5.3 ± 2.6
5.6 ± 2.1
0.644
Sex, male, n (%)
17 (70.83)
23 (79.31)
0.694
Weight (kg)
4.9 ± 1.8
5.2 ± 1.2
0.472
Clinical type, n (%)
0.543
Rectosigmoid HD
4 (16.67)
7 (24.14)
Long-segment HD
11 (45.83)
15 (51.72)
Total colonic HD
9 (37.50)
7 (24.14)
Mean operative time (min)
43.8 ± 9.5
41.6 ± 8.6
0.381
Estimated blood loss (mL)
10.3 ± 2.3
11.6 ± 2.5
0.056
Hospital stay (d)
7.3 ± 0.7
7.4 ± 0.9
0.659
Cost of hospital (RMB)
16582.8 ± 2354.3
17634.2 ± 2108.4
0.093
Table 2 Enterostomy-related complications, n (%)
Group
TUE (n = 24)
CAE (n = 29)
P value
Stomal mucosal prolapse
2 (8.33)
1 (3.45)
0.584
Parastomal hernia
0
0
1
Wound infection
1 (4.17)
2 (6.90)
1
Incidence of dermatitis at stoma
4 (16.67)
8 (27.59)
0.538
Obstruction
0
1 (3.45)
1
Enterocolitis
3 (12.50)
5 (17.24)
0.715
Table 3 Characteristics and operative data during pull-through procedure
Group
TUE (n = 24)
CAE (n = 29)
P value
Age at operation (mo)
8.0 ± 1.9
8.5 ± 2.2
0.386
Sex (male), n (%)
17 (70.83)
23 (79.31)
0.694
Weight (kg)
7.2 ± 2.0
7.9 ± 2.5
0.273
Preoperative enteritis, n (%)
4 (16.67)
7 (24.14)
0.735
Mean operative time (min)
144.8 ± 28.2
160.3 ± 27.6
0.049
Hospital stay (d)
9.8 ± 1.4
10.4 ± 1.8
0.189
Cost of hospital (RMB)
57325.5 ± 3607.9
55792.3 ± 3851.1
0.144
Table 4 Cosmetic assessment
Assessment
TUE (n = 24)
CAE (n = 29)
P value
Appearance of the umbilicus
Normal
Normal
-
Scar appearance on the abdomen
Near scarless
Visible
-
MSS score of visible scars on the abdomen
6.83 ± 0.96
13.32 ± 1.57
< 0.001
Citation: Xu PP, Chang XP, Zhang X, Chi SQ, Cao GQ, Li S, Yang DH, Li XY, Tang ST. Transumbilical enterostomy for Hirschsprung's disease with a two-stage laparoscopy-assisted pull-through procedure. World J Gastroenterol 2019; 25(46): 6781-6789