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Precision minimally invasive strategy for Hirschsprung's disease: from anatomical resection to whole-cycle functional
Kai Zheng1, Wenyue Ma1, Rui Li1
1Department of Pediatric Surgery, Tianjin Medical University General Hospital, Tianjin, TJ, China.
Insights
Minimally invasive surgery for Hirschsprung disease (HD) improves outcomes, but functional management is key. This review proposes a holistic, function-oriented framework for better pediatric patient quality of life.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Clinical Management
Background:
- Minimally invasive surgery for Hirschsprung disease (HD) has advanced accuracy and safety.
- Postoperative defecation dysfunction remains a significant challenge impacting pediatric patients' quality of life.
- Current reviews often lack a comprehensive, whole-cycle functional management approach for HD.
Purpose of the Study:
- To review precision minimally invasive surgical strategies for Hirschsprung disease.
- To propose an integrated, whole-cycle functional management framework for HD patients.
Main Methods:
- Systematic literature search across major databases (PubMed, Scopus, etc.).
- Inclusion of studies on minimally invasive surgery, defecation function, and management strategies for HD.
- Exclusion of non-English literature and conference abstracts without full text.
Main Results:
- Summarized current precision minimally invasive therapeutic strategies for Hirschsprung disease.
- Analyzed the comprehensive care pathway for HD.
- Identified a shift towards holistic, function-oriented management.
Conclusions:
- A paradigm shift from isolated anatomical resection to function-oriented management is crucial for HD.
- Implementing a whole-cycle functional management framework can improve long-term outcomes for pediatric HD patients.
- Precision minimally invasive techniques combined with holistic care offer improved quality of life.
Background:
Minimally invasive radical surgery for Hirschsprung's disease (HD) has achieved substantial advances in anatomical accuracy and perioperative safety, yet postoperative defecation dysfunction remains a key factor limiting long-term quality of life in pediatric patients. Existing reviews seldom elaborate the integrated whole-cycle functional management paradigm.
Objective:
To summarize available study on precision minimally invasive strategies for HD and propose a whole-cycle functional management framework.
Methods:
This review summarizes information from major databases, including ScienceDirect, Google Scholar, Scopus, PubMed and Springer Link. Publications were selected without date restrictions and and used terms such as Hirschsprung's disease, minimally invasive surgery, defecation function, risk stratification, biofeedback training; non-English literature, conference abstracts without full text were excluded.
Results And Conclusions:
In this review, we summarized current minimally invasive, precision therapeutic strategies for Hirschsprung disease. Additionally, we analysed the corresponding comprehensive care pathway, to highlight a paradigm shift-from isolated anatomical resection to holistic, function-oriented management across the entire disease trajectory.
