Abstract：
OBJECTIVE: 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.
CONCLUSIONS: 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.
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.
CONCLUSIONS: 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.
摘要：
目的：重复摘除术（DE）已被描述为一种替代肠切除和原发性吻合（IRA）肠重复的方法，但是没有比较研究。这项研究的目的是比较两种手术方法对肠重复的治疗。
方法：进行了回顾性研究，包括所有接受肠重复治疗的儿童（2005-2023年）。将接受DE的患者与接受IRA的患者进行比较。使用p<0.05确定统计学显著性。获得了伦理上的认可。
结果：共有51例患者（中位年龄：5个月）接受肠重复治疗，包括27例（53%）接受DE和24例IRA（47%）的患者。产前检测到19例DE患者（70％）和11例IRA患者（46％）的囊性图像（p=0.09）。7例患者（14%）使用腹腔镜进行了摘除术。接受DE的患者第一次进食的时间较短(1比3天，p=0.0001)和住院时间(4天vs6天，p<0.0004）与IRA相比。在68％的肠切除标本中发现了肌肉层。
结论：与肠切除吻合相比，重复摘除与减少术后住院时间和延迟首次进食相关,且不会增加术后并发症.关于组织学分析，在大多数情况下，眼球摘除似乎是可行的。
方法：进行了回顾性研究，包括所有接受肠重复治疗的儿童（2005-2023年）。将接受DE的患者与接受IRA的患者进行比较。使用p<0.05确定统计学显著性。获得了伦理上的认可。
结果：共有51例患者（中位年龄：5个月）接受肠重复治疗，包括27例（53%）接受DE和24例IRA（47%）的患者。产前检测到19例DE患者（70％）和11例IRA患者（46％）的囊性图像（p=0.09）。7例患者（14%）使用腹腔镜进行了摘除术。接受DE的患者第一次进食的时间较短(1比3天，p=0.0001)和住院时间(4天vs6天，p<0.0004）与IRA相比。在68％的肠切除标本中发现了肌肉层。
结论：与肠切除吻合相比，重复摘除与减少术后住院时间和延迟首次进食相关,且不会增加术后并发症.关于组织学分析，在大多数情况下，眼球摘除似乎是可行的。
