[Laparoscopic operation for Hirschsprung's disease in children]

Area of Science:

• Pediatric Surgery
• Gastroenterology
• Minimally Invasive Surgery

Background:

• Hirschsprung disease, a form of colonic aganglionosis, requires surgical intervention.
• Traditional open surgical approaches can involve significant trauma.

Purpose of the Study:

• To analyze the experience of using laparoscopic endorectal colon pull-through surgery in children with colonic aganglionosis.
• To evaluate the safety, efficacy, and outcomes of this minimally invasive technique.

Main Methods:

• Laparoscopic endorectal colon pull-through (similar to Coabe surgery) was performed on 5 pediatric patients.
• The procedure involved mobilization and resection of affected colon segments (up to 60 cm).
• Simultaneous coloanal anastomosis was achieved with the intact colon brought down to the perineum.

Main Results:

• The laparoscopic approach allowed for successful mobilization and resection of extensive colon segments.
• Surgery duration ranged from 120 to 240 minutes.
• Postoperative hospital stay was short, not exceeding 8 days.
• Excellent functional and cosmetic results were reported in all cases.

Conclusions:

• Laparoscopic endorectal colon pull-through is an effective treatment for pediatric colonic aganglionosis.
• This technique offers the advantages of the Coabe operation with the benefits of minimally invasive laparoscopic surgery.
• The procedure yields excellent functional and cosmetic outcomes with reduced surgical trauma.