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Duhamel procedure: a comparative retrospective study between an open and a laparoscopic technique
D Vieira Travassos1, N M A Bax, D C Van der Zee
1Department of Pediatric Surgery, Wilhelmina Children's Hospital, University Medical Centre Utrecht, Utrecht, The Netherlands. D.Vieira-Travassos@umcutrecht.nl
Surgical Endoscopy
|May 8, 2007
Summary
Laparoscopic surgery for Hirschsprung
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
- Surgical Innovation
Background:
- Hirschsprung's disease treatment comparison is limited.
- This study compares open vs. laparoscopic Duhamel procedures.
Purpose of the Study:
- To compare outcomes of open and laparoscopic Duhamel procedures for Hirschsprung's disease.
- Evaluate complications, recovery, and long-term results.
Main Methods:
- Retrospective review of 55 patients (25 open, 30 laparoscopic).
- Duhamel procedure performed between 1987-2003.
- Exclusion criteria: extended aganglionosis, pre-Duhamel ostomy, syndromes.
Main Results:
- Laparoscopic group had shorter hospital stay and faster first oral feeds.
- Higher rates of adhesive obstruction and enuresis in the open group.
- Superior cosmetic outcomes in the laparoscopic group.
Conclusions:
- Laparoscopic Duhamel offers faster recovery and better cosmesis.
- No significant differences in major complications or long-term functional outcomes.
- Laparoscopic approach shows promise for Hirschsprung's disease treatment.
