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Updated: Oct 3, 2026
Diagnosis of Hirschsprung's Disease by Immunostaining Rectal Suction Biopsies for Calretinin, S100 Protein and Protein Gene Product 9.5
Published on: April 26, 2019
[Minimally invasive surgery in the treatment of Hirschsprung disease]
R Moog1, F Becmeur, I Kauffmann-Chevalier
1Service de chirurgie infantile, hôpitaux universitaires de Strasbourg, hôpital de Hautepierre, 67098 Strasbourg, France.
Insights
Laparoscopic surgery for Hirschsprung
Area of Science:
- Pediatric surgery
- Minimally invasive surgery
- Gastrointestinal surgery
Context:
- Hirschsprung's disease is a congenital condition affecting the large intestine.
- Surgical intervention is necessary for treatment.
- Laparoscopic techniques offer potential advantages over traditional open surgery.
Purpose:
- To evaluate the outcomes of laparoscopic surgery for Hirschsprung's disease.
- To report results from a small series of pediatric patients.
Summary:
- 13 children underwent laparoscopic surgery for Hirschsprung's disease between 1996 and 2000.
- Procedures included Duhamel's and Swenson's techniques, with a mean operative time of 160 minutes.
- Complications included one conversion to laparotomy, one leak, and one reoperation for occlusion.
Impact:
- Laparoscopic approach represents an advancement in Hirschsprung's disease treatment.
- Further research and comparison with newer techniques like transanal approaches are warranted.
Study Aim:
The treatment of Hirschsprung's disease was improved by the laparoscopic approach. The study aim was to report the results of a short series.
Patients And Method:
From December 1996 to January 2000, 13 children (7 boys and 6 girls) were operated for a Hirschsprung's disease with a laparoscopic approach. The mean age at the time of surgery was 6 months. A colostomy had been performed previously in 10 of them. The colostomy was closed and the colorectal anastomosis was performed with Duhamel's technique in 10 and Swenson's in 3. Location of aganglionnic bowel was rectum and sigmoid colon (n = 9) rectum (n = 2) left colon (n = 1), left colon and right transverse colon (n = 1).
Results:
The mean duration of the procedure was 160 minutes. One conversion to laparotomy was necessary. One postoperative leak required a temporary colostomy. One intestinal occlusion due to an incarceration of an intestinal loop behind the pulled through colon, required a reoperation. The mean 26 month-follow-up was too short to draw conclusions about functional results.
Conclusion:
Laparoscopic approach was an important progress in the treatment of the Hirschsprung's disease but, more recently, the transanal approach that we used in the last five patients, seems to be another more important innovation.
