Laparoscopic-assisted endorectal pull-through for Hirschsprung’s disease. A retrospective study

Authors

• Xiaogang Li, From the Department of Genral Surgery (Li XG, Li XY, Cheng, Zhang, Zou, Tao, Du, Liao), Xiangyang Central Hospital, Hubei University of Arts and Science, Xiangyang, and the Department of Pediatric Surgery (Tang), Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
• Xiaoyun Li, From the Department of Genral Surgery (Li XG, Li XY, Cheng, Zhang, Zou, Tao, Du, Liao), Xiangyang Central Hospital, Hubei University of Arts and Science, Xiangyang, and the Department of Pediatric Surgery (Tang), Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
• Jun Cheng, From the Department of Genral Surgery (Li XG, Li XY, Cheng, Zhang, Zou, Tao, Du, Liao), Xiangyang Central Hospital, Hubei University of Arts and Science, Xiangyang, and the Department of Pediatric Surgery (Tang), Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
• Yongkang Zhang, From the Department of Genral Surgery (Li XG, Li XY, Cheng, Zhang, Zou, Tao, Du, Liao), Xiangyang Central Hospital, Hubei University of Arts and Science, Xiangyang, and the Department of Pediatric Surgery (Tang), Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
• Wei Zou, From the Department of Genral Surgery (Li XG, Li XY, Cheng, Zhang, Zou, Tao, Du, Liao), Xiangyang Central Hospital, Hubei University of Arts and Science, Xiangyang, and the Department of Pediatric Surgery (Tang), Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
• Fei Xie, From the Department of Genral Surgery (Li XG, Li XY, Cheng, Zhang, Zou, Tao, Du, Liao), Xiangyang Central Hospital, Hubei University of Arts and Science, Xiangyang, and the Department of Pediatric Surgery (Tang), Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
• Zhenggui Tao, From the Department of Genral Surgery (Li XG, Li XY, Cheng, Zhang, Zou, Tao, Du, Liao), Xiangyang Central Hospital, Hubei University of Arts and Science, Xiangyang, and the Department of Pediatric Surgery (Tang), Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
• Shaotao Tang, From the Department of Genral Surgery (Li XG, Li XY, Cheng, Zhang, Zou, Tao, Du, Liao), Xiangyang Central Hospital, Hubei University of Arts and Science, Xiangyang, and the Department of Pediatric Surgery (Tang), Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
• Mingguo Du, From the Department of Genral Surgery (Li XG, Li XY, Cheng, Zhang, Zou, Tao, Du, Liao), Xiangyang Central Hospital, Hubei University of Arts and Science, Xiangyang, and the Department of Pediatric Surgery (Tang), Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
• Xiaofeng Liao, From the Department of Genral Surgery (Li XG, Li XY, Cheng, Zhang, Zou, Tao, Du, Liao), Xiangyang Central Hospital, Hubei University of Arts and Science, Xiangyang, and the Department of Pediatric Surgery (Tang), Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Abstract

Objectives: To summarize the efficacy of the laparoscopic-assisted transanal-endorectal pull-through procedure for Hirschsprung’s disease (HD). Methods: Between May 2006 and May 2013, 22 children with HD undergoing laparoscopic-assisted endorectal pull-through procedures were retrospectively analyzed. The operative time, pathology, intraoperative blood loss, recovery time for gastrointestinal function, postoperative hospital stay, complications, and defecation functions of the patients were analyzed. Results: The procedure was successfully completed in all 22 patients without conversion to open surgery. The operative time was 105-190 minutes (mean, 160.4 minutes), and the intraoperative blood loss was 20-50 ml. The mean time for the recovery of gastrointestinal function was 22 hours, and the mean postoperative hospital stay was 8 days. All patients had 1-3 defecations per day at 6 months postoperatively without constipation, soiling, or stoma stenosis. Conclusion: The laparoscopic-assisted transanal-endorectal pull-through procedure is a safe and feasible technique for patients with HD.

Article Type

Brief Report

First Page

1255

Last Page

1258

Recommended Citation

Li, Xiaogang; Li, Xiaoyun; Cheng, Jun; Zhang, Yongkang; Zou, Wei; Xie, Fei; Tao, Zhenggui; Tang, Shaotao; Du, Mingguo; and Liao, Xiaofeng (2017) "Laparoscopic-assisted endorectal pull-through for Hirschsprung’s disease. A retrospective study," Saudi Medical Journal: Vol. 38: Iss. 12, Article 15.
DOI: https://doi.org/10.15537/smj.2017.12.20859