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Long-term outcomes of laparoscopic-assisted versus complete transanal endorectal pull-through technique for classic
Ho Tran Ban1,2, Vuong Minh Chieu3, Quynh Thi Vu Huynh4
1Department of Pediatric Surgery, University of Medicine and Pharmacy at Ho Chi Minh City, 217 Hong Bang, Ward 11, District 5, Ho Chi Minh City, Vietnam. hotranban@ump.edu.vn.
Background:
The efficacy of transanal endorectal pull-through (TERPT) in treating classic Hirschsprung's disease may be enhanced by incorporating laparoscopic-assisted endorectal pull-through (LERPT). This study was done to compare the long-term outcomes of TERPT and LERPT in the treatment of classic segment Hirschsprung's disease.
Methods:
Longitudinal study.
Results:
Between 2015 and 2019, a total of 154 patients underwent pull-through procedures. Of these, 113 were treated with TERPT and 41 with LERPT. The median operative time was significantly shorter for TERPT (109.5 min) compared to LERPT (144.6 min; p < 0.001). In terms of long-term outcomes, no significant differences were observed between the two procedures regarding complication rates and stooling patterns.
Conclusions:
Both TERPT and LERPT are effective surgical approaches for children with classic segment Hirschsprung's disease. The study found no significant differences in long-term outcomes between the two techniques.
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