eISSN: 2299-0054
ISSN: 1895-4588
Videosurgery and Other Miniinvasive Techniques
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1/2020
vol. 15
 
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Pediatric surgery
abstract:
Original paper

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

Yifan Fang
,
Jianxi Bai
,
Bing Zhang
,
Dianming Wu
,
Yu Lin
,
Mingkun Liu

Videosurgery Miniinv 2020; 15 (1): 234–238
Online publish date: 2019/07/22
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Introduction
Hirschsprung’s disease (HD) is one of the most common and severe diseases treated in pediatric surgery. Since the introduction of the laparoscopic technique into pediatric surgery, laparoscopic-assisted radical surgery for HD has demonstrated unique advantages. Long-segment and total-colon HD are the best indications for laparoscopic-assisted surgery.

Aim
To summarize clinical experience of the laparoscopic Soave procedure for long-segment HD in a single center.

Material and methods
The data of children with long-segment HD who underwent the laparoscopic Soave procedure in our department from January 2013 to May 2018 were reviewed. The clinical features, surgical procedures and follow-up results were summarized and analyzed.

Results
Thirty-one children underwent the laparoscopic Soave procedure; none of them were converted to open surgery. The average hospitalization time was 8.7 days after the operation, and no immediate postoperative complications occurred. There was no recurrence of constipation. 6 (19.3%) cases were complicated with HD associated enterocolitis in the first 3 months postoperatively; 5 (16.1%) cases had soiling in the first year. There were 0 cases of adhesive bowel obstruction, 0 cases of anastomotic stenosis, and 0 cases of constipation.

Conclusions
A small volume centre may achieve satisfactory results for long-segment HD. The laparoscopic Soave procedure is a minimally invasive, safe and effective treatment.

keywords:

laparoscopy, long-segment, Hirschsprung’s disease, Soave procedure

  
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