Laparoscopy-Assisted Duhamel-Z Anastomosis for Total Colonic Aganglionosis: Outcome Assessed by Fecal Continence Evaluation.

@article{Miyano2017LaparoscopyAssistedDA,
  title={Laparoscopy-Assisted Duhamel-Z Anastomosis for Total Colonic Aganglionosis: Outcome Assessed by Fecal Continence Evaluation.},
  author={Go Miyano and Hiroki Nakamura and Shogo Seo and Ryo Sueyoshi and Manabu Okawada and Takashi Doi and Hiroyuki Koga and Geoffrey James Lane and Tadaharu Okazaki and Atsuyuki Yamataka},
  journal={Journal of laparoendoscopic & advanced surgical techniques. Part A},
  year={2017},
  volume={27 3},
  pages={302-305}
}
BACKGROUND A Z-shaped colorectal side-to-side anastomosis was introduced to improve the Duhamel procedure by eliminating the rectal blind pouch. We retrospectively reviewed all total colonic aganglionosis patients treated by laparoscopy-assisted Duhamel-Z (LapDZ) between 2009 and 2014 focusing on annual fecal continence evaluation scores (CES) as an indicator of outcome. METHODS LapDZ was performed conventionally. Postoperatively, defecation was regulated with medications and enemas according… CONTINUE READING
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