Long-term outcomes of laparoscopic-assisted versus complete transanal endorectal pull-through technique for classic segment Hirschsprung's disease.

Autor: Ban HT; Department of Pediatric Surgery, University of Medicine and Pharmacy at Ho Chi Minh City, 217 Hong Bang, Ward 11, District 5, Ho Chi Minh City, Vietnam. hotranban@ump.edu.vn.; Department of Pediatric Surgery, Children's Hospital 2, 217 Hong Bang, Ward 11, District 5, Ho Chi Minh City, Vietnam. hotranban@ump.edu.vn., Chieu VM; Department of Pediatric Surgery, Children's Hospital 2, 217 Hong Bang, Ward 11, District 5, Ho Chi Minh City, Vietnam., Huynh QTV; Department of Pediatrics, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam., Thanh TT; Department of Pediatric Surgery, Children's Hospital 2, 217 Hong Bang, Ward 11, District 5, Ho Chi Minh City, Vietnam., Quang DT; City Children's Hospital, Ho Chi Minh City, Vietnam., Uy LTN; Department of Pediatric Surgery, University of Medicine and Pharmacy at Ho Chi Minh City, 217 Hong Bang, Ward 11, District 5, Ho Chi Minh City, Vietnam.
Jazyk: angličtina
Zdroj: Pediatric surgery international [Pediatr Surg Int] 2024 Dec 13; Vol. 41 (1), pp. 26. Date of Electronic Publication: 2024 Dec 13.
DOI: 10.1007/s00383-024-05924-5
Abstrakt: Background: The efficacy of transanal endorectal pull-through (TERPT) in treating classic Hirschsprung's disease may be enhanced by incorporating laparoscopic-assisted endorectal pull-through (LERPT). This study was done to compare the long-term outcomes of TERPT and LERPT in the treatment of classic segment Hirschsprung's disease.
Methods: Longitudinal study.
Results: Between 2015 and 2019, a total of 154 patients underwent pull-through procedures. Of these, 113 were treated with TERPT and 41 with LERPT. The median operative time was significantly shorter for TERPT (109.5 min) compared to LERPT (144.6 min; p < 0.001). In terms of long-term outcomes, no significant differences were observed between the two procedures regarding complication rates and stooling patterns.
Conclusions: Both TERPT and LERPT are effective surgical approaches for children with classic segment Hirschsprung's disease. The study found no significant differences in long-term outcomes between the two techniques.
Competing Interests: Declarations. Conflict of interest: The authors declare no competing interests.
(© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
Databáze: MEDLINE
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