Abstract
We describe a patient with total colon aganglionosis (TCA) who underwent a one-stage laparoscopic endorectal pull-through without stoma. We obtained a definitive diagnosis laparoscopically by intestinal seromuscular biopsy and appendectomy, after which a laparoscopic total colectomy was performed during the same operation. We divided the marginal vessels, proceeding proximally from the rectum, and performed an ileal-anal anastomosis according to the Soave method with use of a prolapsing technique. The postoperative course was uneventful, without diarrheal rushes or excessive loss of electrolytes. We believe that a one-stage laparoscopic pull-through without stoma is indicated in TCA, provided that the ileal aganglionic segment is relatively short.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
