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Difference of efficacy between Laparoscopic Modified Soave operation and Open Radical Resection in the treatment of
Yali Tian1, Tianting Shi2, Fang Wang3
1Yali Tian, Department of Pediatric Surgery, Binzhou People's Hospital, Shandong 256610, China.
Insights
The laparoscopic modified Soave operation for Hirschsprung
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
Background:
- Hirschsprung's disease is a congenital disorder affecting the large intestine.
- Surgical intervention is the primary treatment for Hirschsprung's disease.
Purpose of the Study:
- To compare the efficacy and safety of laparoscopic modified Soave operation versus open radical resection for Hirschsprung's disease.
Main Methods:
- A comparative study involving 216 children with Hirschsprung's disease.
- Patients were divided into two groups: laparoscopic modified Soave operation and open radical resection.
- Evaluation included clinical efficacy, complications, and defecation function.
Main Results:
- The laparoscopic group showed significantly shorter operation times, faster intestinal peristalsis recovery, less blood loss, and lower pain scores.
- Postoperative complications and physiological indicators (MAP, HR) were significantly better in the laparoscopic group.
- The laparoscopic group achieved a higher excellent and good rate (81.5%) based on the Kelly score compared to the open group (61.1%).
Conclusions:
- Laparoscopic modified Soave operation demonstrates high efficacy and safety in treating Hirschsprung's disease.
- This minimally invasive approach leads to fewer complications and better recovery of bowel function.
- Laparoscopic modified Soave operation is recommended for clinical adoption due to its favorable outcomes.
Objective:
To analyze and compare the efficacy of laparoscopic modified Soave operation and open radical resection in the treatment of Hirschsprung's disease.
Methods:
Two hundred and sixteen children who suffered from Hirschsprung's disease and were admitted into the hospital from June 2015 to December 2016 were selected as research subjects. They were grouped into an observation group in which patients were treated by laparoscopic modified Soave operation and open radical resection and a control group in which patients were treated by open radical resection. The clinical efficacy and complications of the two groups were observed, and the defecation function was also evaluated.
Results:
Operation indicators such as the operation time, time to recovery of intestine peristalsis, intraoperative blood loss and pain score of the observation group were superior to those of the control group, and the difference had statistical significance (P<0.05). The mean arterial pressure (MAP) and heart rate (HR) of the observation group were lower than those of the control group at all time points after operation, and the difference suggested statistical significance (P<0.05). The postoperative complications of the observation group were less than those of the control group. The follow-up results demonstrated that the excellent and good rate of Kelly score of the observation group was 81.5%, higher than 61.1% in the control group.
Conclusion:
Laparoscopic modified Soave operation has definite efficacy in the treatment of Hirschsprung's disease, and the treatment is featured by high safety and few complications, which is beneficial to the recovery of defecation function; hence laparoscopic modified Soave operation is worth clinical promotion.
