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[Laparoscopic-assisted modified Soave procedures for adult Hirschsprung disease]
Gao-xiong Han1, Chuan-qing Wu, Xiao-ming Shuai
1Center of Laparoscopic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.
Objective:
To evaluate the clinical value of laparoscopy-assisted modified Soave procedure for Hirschsprung disease in adults.
Methods:
Twenty-eight patients with a preoperative diagnosis of Hirschsprung disease underwent laparoscopy-assisted modified Soave procedure between March 2005 and December 2009. Clinical data were retrospectively analyzed.
Results:
There were no conversions to open surgery. The mean operative time was (165±12) minutes (range: 135-185 minutes). Estimated blood loss ranged from 50 to 250 ml, and no patients required intraoperative blood transfusion. Postoperative pathologic examination showed Hirschsprung diseases in 19 patients and Hirschsprung allied diseases in 9. Only two patients developed rectal cuff infection and three mild seepage. Other patients had no postoperative complications. The mean hospital stay was (17.5±1.0) days. No fecal incontinence or recurrent constipation occurred during follow-up.
Conclusion:
Laparoscopy- assisted modified Soave procedure is safe and effective for Hirschsprung disease.
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