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Use of a SILS(TM) port in transanal endoscopic surgery for the incomplete section after Duhamel-Martin procedure in a 10-year-old boy (Abstract)

Masashi Kurobe, Yuji Baba, Syuichi Ashizuka, Masahiko Otsuka


Recently, the use of a single-incision laparoscopic surgery port (SILSTM port, Covidien) for transanal endoscopic microsurgery has been validated in the adult population, but not yet in children. We report the case of a 10-year-old boy with chronic anal bleeding from an incomplete section of the septum between rectum and pulled through segment with an endoscopic linear stapler after the Duhamel-Martin procedure for extensive aganglionosis. We performed a redo transection of the septum by transanal endoscopic surgery using the SILSTM port successfully. There was no fecal incontinence or soiling during the postoperative follow-up and anal bleeding didn’t relapse. To the best of our knowledge, this is the first report worldwide of initial experience with transanal single port surgery in pediatric population. Careful patient selection and further experience including long-time outcomes are needed to fully define the indication of this procedure in the pediatric population.

Key words: SILS port, transanal, Duhamel-Martin, endoscopic linear stapler