Laparoscopic-assisted Swenson pull-through for Hirschsprung’s disease

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Abstract

Background
Many procedures were adopted for the management of Hirschsprung’s disease (HD), which progressed from staged procedures to a single-stage surgery. Advances in minimal invasive surgery have led to successful applications of laparoscopic-assisted techniques for the surgical management of HD. This study was conducted to evaluate the feasibility, safety, and the short-term outcome after laparoscopic-assisted Swenson pull-through technique in the management of HD.
Patients and methods
Thirteen patients presented with HD were subjected to laparoscopic-assisted Swenson pull-through technique.
Results
This study included 13 males and five females. The age at pull-through ranged from 2 months to 6 years with a median age of 9 months. The mean operative time for the total procedure was 120 min (100–170 min). No intraoperative complications were reported. The mean length of the excised segment was 24 cm (17–29 cm). The mean length of hospital stay was 5 days (4–7 days). Postoperative enterocolitis was recorded in one patient. Soiling was observed in two patients. Perianal excoriation was observed in three patients. No urinary problems were recorded in all patients. The mean follow-up period was 18 months with no recorded late postoperative complications.
Conclusion
Laparoscopic-assisted Swenson pull-through is a feasible, safe, and suitable technique for the treatment of short-segment HD in children with favorable short-term outcomes.

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