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Enucleation for intestinal duplications: a comparative study with intestinal resection and anastomosis.
Laplanche, Ulysse; Montalva, Louise; Dara, Pichvichit; Coulomb, Aurore; Hervieux, Erik; Honnla, Runreasey; Irtan, Sabine; Audry, Georges.
Afiliación
  • Laplanche U; Department of Pediatric Visceral and Neonatal Surgery, Armand Trousseau University Hospital, Assistance Publique-Hôpitaux de Paris, Paris Sorbonne University, 26 Avenue du Dr Arnold Netter, 75012, Paris, France.
  • Montalva L; Department of Pediatric Visceral and Neonatal Surgery, Armand Trousseau University Hospital, Assistance Publique-Hôpitaux de Paris, Paris Sorbonne University, 26 Avenue du Dr Arnold Netter, 75012, Paris, France. louise.montalva@aphp.fr.
  • Dara P; Sorbonne University, Paris, France. louise.montalva@aphp.fr.
  • Coulomb A; Department of Pediatric Visceral and Neonatal Surgery, Armand Trousseau University Hospital, Assistance Publique-Hôpitaux de Paris, Paris Sorbonne University, 26 Avenue du Dr Arnold Netter, 75012, Paris, France.
  • Hervieux E; Sorbonne University, Paris, France.
  • Honnla R; Department of Pathology, Armand Trousseau University Hospital, Paris, France.
  • Irtan S; Department of Pediatric Visceral and Neonatal Surgery, Armand Trousseau University Hospital, Assistance Publique-Hôpitaux de Paris, Paris Sorbonne University, 26 Avenue du Dr Arnold Netter, 75012, Paris, France.
  • Audry G; Sorbonne University, Paris, France.
Pediatr Surg Int ; 40(1): 167, 2024 Jul 02.
Article en En | MEDLINE | ID: mdl-38954073
ABSTRACT

PURPOSE:

Duplication enucleation (DE) has been described as an alternative to intestinal resection with primary anastomosis (IRA) for intestinal duplications, but no comparative study exists. The aim of this study was to compare both surgical procedures for intestinal duplication.

METHODS:

A retrospective study was performed, including all children treated for intestinal duplication (2005-2023). Patients that underwent DE were compared to those that underwent IRA. Statistical significance was determined using p < 0.05. Ethical approval was obtained.

RESULTS:

A total of 51 patients (median age 5 months) were treated for intestinal duplication, including 27 patients (53%) that underwent DE and 24 IRA (47%). A cystic image was detected prenatally in 19 patients (70%) with DE and 11 patients (46%) with IRA (p = 0.09). Enucleation was performed using laparoscopy in 7 patients (14%). Patients that underwent DE had shorter time to first feed (1 vs 3 days, p = 0.0001) and length of stay (4 vs 6 days, p < 0.0004) compared to IRA. A muscular layer was identified in 68% of intestinal resection specimens.

CONCLUSION:

Compared to intestinal resection with anastomosis, duplication enucleation is associated with decreased postoperative length of stay and delay to first feeds without increasing post-operative complications. Regarding histological analysis, enucleation seems feasible in most cases.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Anastomosis Quirúrgica / Laparoscopía / Intestinos Límite: Child / Child, preschool / Female / Humans / Infant / Male / Newborn Idioma: En Revista: Pediatr Surg Int Asunto de la revista: PEDIATRIA Año: 2024 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Alemania
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Anastomosis Quirúrgica / Laparoscopía / Intestinos Límite: Child / Child, preschool / Female / Humans / Infant / Male / Newborn Idioma: En Revista: Pediatr Surg Int Asunto de la revista: PEDIATRIA Año: 2024 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Alemania