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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
Laparoscopically assisted colorectal resection in Hirschsprung's disease
K-D Rückauer1, E von Dobschuetz
1Pediatric Surgery, Department of General and Visceral Surgery, Albert-Ludwigs-University, Freiburg, Germany.
European Journal of Medical Research
|September 1, 2005
Summary
Minimally invasive surgery (MIS) offers rapid recovery for Hirschsprung
Area of Science:
- Pediatric Surgery
- Colorectal Surgery
- Minimally Invasive Surgery
Background:
- Minimally invasive surgery (MIS) is widely adopted for abdominal operations.
- MIS offers reduced surgical trauma, suggesting its value for rectal resection in Hirschsprung's disease.
Purpose of the Study:
- To evaluate the feasibility and outcomes of laparoscopic colorectal resection for Hirschsprung's disease.
Main Methods:
- Laparoscopic approach using three to four trocars.
- Dissection of the aganglionic segment, transanal eversion, resection, and coloanal anastomosis.
- Study included nine pediatric patients (age 11 weeks - 18 years) operated laparoscopically since 1996.
Main Results:
- No intraoperative complications observed.
- Rapid recovery with early oral intake and physical activity restoration.
- Common complications include anastomotic leakage, stricture, and need for dilation.
Conclusions:
- Laparoscopic colorectal resection is feasible for Hirschsprung's disease.
- Patient benefits appear evident, though further evidence is needed.
- Prospective randomized studies are challenging due to small patient numbers.
