Laparoscopic Soave procedure for long-segment Hirschsprung's disease - single-center experience

Area of Science:

• Pediatric Surgery
• Minimally Invasive Surgery
• Gastrointestinal Surgery

Background:

• Hirschsprung's disease (HD) is a common and severe condition in pediatric surgery.
• Laparoscopic-assisted surgery offers advantages for HD treatment, particularly for long-segment and total-colon cases.

Purpose of the Study:

• To evaluate the clinical outcomes of the laparoscopic Soave procedure for long-segment HD.
• To summarize surgical experience and follow-up results from a single center.

Main Methods:

• Retrospective review of pediatric patients with long-segment HD.
• Analysis of clinical features, surgical procedures, and postoperative outcomes for the laparoscopic Soave procedure.
• Data collected from January 2013 to May 2018.

Main Results:

• Thirty-one children underwent the laparoscopic Soave procedure without conversion to open surgery.
• Average hospitalization was 8.7 days with no immediate complications.
• Postoperative issues included enterocolitis (19.3%) and soiling (16.1%); no cases of obstruction or stenosis occurred.

Conclusions:

• The laparoscopic Soave procedure is a safe, effective, and minimally invasive treatment for long-segment HD.
• Satisfactory results can be achieved even in smaller volume centers.
• The procedure demonstrates a low rate of serious complications.