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KMID : 0978820020050020219
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Journal of the Korean Society of Endoscopic & Laparoscopic Surgeons
2002 Volume.5 No. 2 p.219 ~ p.223
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Laparoscopic One-Stage Duhamel Operation for Neonate with Hirschprung’s Disease
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권수인/Kwon SI
김종태/정상호/이영준/정은정/홍순찬/최상경/하우송/박순태/Kim JT/Joeng SH/Lee YJ/Chung EJ/Hong SC/Choi SK/Ha WS/Park ST
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Abstract
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With the recent advances in instruments and techniques, laparoscopic procedures have extended to neonates with congenital anomalies. Authors reports a 18-days old girl with Hirschsprung’s disease, treated successfully by the laparoscopic one-stage Duhamel operation. The technique and its potential role in the treatment of Hirschsprung’s disease are described. One camera port and three working ports, including a 12-mm port for Endo-GIA stapler were used for access to the peritoneal cavity. The descending and sigmoid colon were dissected and mobilized laparoscopically. The colon was divided and pulled behind rectum and side to side anastomosis was completed with Endo-GIA stapler. Postoperative course was uneventful. Authors concluded that Duhamel operation for Hischsprung’s disease can be performed safely with the laparoscope.
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