히르슈슈프룽병의일차성복강경보조 Endorectal Pull-Through 술식의임상적고찰 접수일 게재승인일 교신저자 설지영 대전시중구문화로 충남대학교병원외과

히르슈슈프룽병의일차성복강경보조 Endorectal Pull-Through 술식의임상적고찰 접수일 게재승인일 교신저자 설지영 대전시중구문화로 충남대학교병원외과

Table 1. General Patients and Surgical Characteristics Male : female 32 : 10 Mean age at operation (range) 1 month (6 days-4 years) Level of aganglionosis Rectum/rectosigmoid 41 Transverse colon 1 Mean operation time (range) 144 min (100 186 min) Open conversion No Mean length of hospital Stay (range) 6.5 days (1.7 11.3 days) Mean time to full feeds (range) 3.8 days (1.1 5.5 days) Mean time to spontaneous defecation (range) 1.5 days (0.8 2.2 days) Mean follow-up period (range) 45 months (18 86 months)

Table 2. Early Postoperative Complications (<3 Months after Surgery) Complications No. of patients (%) Perianal dermatitis 22 (52.4) Early 21 Moderate 1 Severe 0 Anastomotic stricture requiring Hegar dilatation 9 (21.4) Anastomotic leak 0 Enterocolitis 3 ( 7.1) Wound complications 0 Table 3. Late Postoperative Complications and Long-term Outcomes (>3 Months after Surgery) Late complications & long-term outcomes No. of patients (%) Stenosis (not respond to regular Hegar dilatation) 1 ( 2.4) Enterocolitis 6 (18.8) Obstructive symptoms 3 ( 7.1) Need for laxatives 11 (26.2)

Table 4. Functional Results of Krickenbeck Assessment (N=32 Patients >3 Years Old) VBM* Soiling Constipation + Yes/total (%) 32 (100) 5 (15.6) 6 (18.8) Grade 1 3 ( 9.3) 2 ( 6.3) Grade 2 2 ( 6.3) 4 (12.5) Grade 3 0 0 *Voluntary bowel movement: feeling of urge, capacity to verbalize, hold the bowel movement Soiling: Grade 1 occasionally (once or twice per week); Grade 2 every day, no social problem; Grade 3 constant, social problem + Constipation: Grade 1 manageable with diet; Grade 2 requires laxatives; Grade 3 resistant to diet and laxatives

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