Long-term outcomes of laparoscopic-assisted versus complete transanal endorectal pull-through technique for classic segment Hirschsprung's disease.

IF 1.5 3区 医学 Q2 PEDIATRICS Pediatric Surgery International Pub Date : 2024-12-13 DOI:10.1007/s00383-024-05924-5
Ho Tran Ban, Vuong Minh Chieu, Quynh Thi Vu Huynh, Tri Tran Thanh, Dinh Truong Quang, Linh Truong Nguyen Uy
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Abstract

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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腹腔镜辅助与完全经肛门直肠内牵引技术治疗典型节段性巨结肠病的长期疗效
背景:经肛门直肠内牵引(TERPT)治疗经典Hirschsprung病的疗效可以通过结合腹腔镜辅助直肠内牵引(LERPT)来提高。本研究比较了TERPT和LERPT治疗典型节段性巨结肠病的长期疗效。方法:纵向研究。结果:2015年至2019年期间,共有154名患者接受了拔管手术。其中113例接受TERPT治疗,41例接受LERPT治疗。TERPT的中位手术时间(109.5分钟)明显短于LERPT(144.6分钟;结论:TERPT和LERPT都是治疗儿童典型节段性巨结肠的有效手术入路。研究发现,两种方法的长期疗效没有显著差异。
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来源期刊
CiteScore
3.00
自引率
5.60%
发文量
215
审稿时长
3-6 weeks
期刊介绍: Pediatric Surgery International is a journal devoted to the publication of new and important information from the entire spectrum of pediatric surgery. The major purpose of the journal is to promote postgraduate training and further education in the surgery of infants and children. The contents will include articles in clinical and experimental surgery, as well as related fields. One section of each issue is devoted to a special topic, with invited contributions from recognized authorities. Other sections will include: -Review articles- Original articles- Technical innovations- Letters to the editor
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