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[Fast track surgery combined with laparoscopy in the treatment of infant Hirschsprung disease].
[hirschsprung disease]
To
evaluate
the
safety
and
efficacy
of
fast
track
surgery
(
FTS
)
combined
with
laparoscopy
in
the
treatment
of
infant
Hirschsprung
disease
.
Clinical
data
of
72
infants
with
Hirschsprung
disease
undergoing
elective
pull-through
surgery
from
June
2010
to
June
2013
were
retrospectively
summarized
.
The
patients
were
divided
into
two
groups
:
fast
track
surgery
combined
with
laparoscopy
group
(
FTS
group
,
n
=
33
)
and
laparoscopic
surgery
with
traditional
management
perioperatively
(
control
group
,
n
=
39
)
.
Postoperative
intestinal
function
recovery
,
hospital
stay
,
cost
of
hospitalization
,
complications
were
compared
and
postoperative
recovery
was
followed-up
for
four
weeks
.
There
were
no
significant
differences
in
intraoperative
blood
loss
and
operative
time
between
FTS
and
control
group
(
both
P
>
0
.
05
)
.
The
recovery
of
bowel
movement
was
earlier
in
the
FTS
group
but
the
difference
was
not
statistically
significant
(
P
=
0
.
078
)
.
The
hospital
stay
was
shorter
[
(
10
±
2
)
d
vs
.
(
14
±
4
)
d
]
and
cost
of
hospitalization
was
lower
[
(
15
316
±
2273
)
Yuan
vs
.
(
18
641
±
3082
)
Yuan
]
in
FTS
group
than
those
in
control
group
(
P
<
0
.
01
)
.
Postoperative
complications
and
recovery
conditions
during
4
weeks
follow-up
were
similar
between
the
two
groups
.
Fast
track
surgery
combined
with
laparoscopy
in
the
treatment
of
infant
Hirschsprung
disease
is
safe
and
effective
.
Diseases
Validation
Diseases presenting
"operative time between fts and control group"
symptom
hirschsprung disease
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