Articles Vol. 63 No. chuyên đề 3-HN Sản Nhi Nghệ An (2022) 30/11/2022

RESULT OF LAPAROSCOPIC SURGERY FOR HIRSCHSPRUNG DISEASE IN NGHE AN OBSTETRICS AND PEDIATRICS HOSPITAL

Dau Anh Trung1,2, Tran Van Trung1,2, Nguyen Huu Viet Bach1,2
1 Nghe An Hospital of Obstetrics and Pediatrics
2 Bệnh viện Sản Nhi Nghệ An
Corresponding author: dauanhtrung@gmail.com
DOI: 10.52163/yhc.v63i8.501
17 Views
0 Downloads
Keywords
Hirschsprung disease, Laparoscopic, transanal one-stage endorectal pull-through.
Abstract

Objectives: To evaluate the results of laparoscopic surgical techniques combined transanal onestage endorectal pull-through, the treatment of Hirschsprung’s disease in children.
Methods: Including 26 patients of HD (21 males, 5 females) with distal colon aganglionosis
were considered candidates for laparoscopic techniques combined transanal one-stage endorectal
pull-through from 1/2018 to 8/2022. Prospective studies with follow-up and re-examination of
postoperative anal dilatation. The percentage of patients with good postoperative defecation
function was 87.4%, only 12.6% was moderate and there was no poor type.
Results: The median age was 11,5 months (ranging from 1 to 12 years old). The mean
operative time was 158 ± 49 min. No conversion to an open operation was required. The average
hospitalization time was 8,5 ± 3,5 days. There were no intraoperative or perioperative
complications. Long term follow-up results were obtained from 24 patients.
Conclusion: Laparoscopic surgical techniques combined transanal one-stage endorectal pullthrough, the treatment of Hirschsprung’s disease is safe and effective, can solve all very high and
can be alternative for assisted laparotomy.

References
[1]
Martucciello G. Hirschsprung’s Disease, Google Scholar
[2]
One of the Most Difficult Diagnoses in Google Scholar
[3]
Pediatric Surgery: A Review of the Problems Google Scholar
[4]
from Clinical Practice to the Bench. Eur J Google Scholar
[5]
Pediatr Surg. 2008;18(3):140-149. Google Scholar
[6]
doi:10.1055/s-2008-1038625 Google Scholar
[7]
Nguyen LT, Nguyen AT, Nguyen QT et Google Scholar
[8]
al., Suspension sutures facilitate single-incision Google Scholar
[9]
laparoscopic-assisted rectal pull-through for Google Scholar
[10]
Hirschsprung disease. BMC Surg. Google Scholar
[11]
;21(1):274. doi:10.1186/s12893-021- Google Scholar
[12]
-w Google Scholar
[13]
Swenson O, Bill AH, Resection of rectum Google Scholar
[14]
and rectosigmoid with preservation of the Google Scholar
[15]
sphincter for benign spastic lesions producing Google Scholar
[16]
megacolon; an experimental study. Surgery. Google Scholar
[17]
;24(2):212-220. Google Scholar
[18]
Smith C, Ambartsumyan L, Kapur RP, Google Scholar
[19]
Surgery, Surgical Pathology, and Postoperative Google Scholar
[20]
Management of Patients With Hirschsprung Google Scholar
[21]
Disease. Pediatr Dev Pathol. 2020;23(1):23-39. Google Scholar
[22]
doi:10.1177/1093526619889436 Google Scholar
[23]
Rintala RJ, Lindahl HG, Rasanen M, Do Google Scholar
[24]
children with repaired low anorectal Google Scholar
[25]
malformations have normal bowel function? J Google Scholar
[26]
Pediatr Surg. 1997;32(6):823-826. Google Scholar
[27]
doi:10.1016/S0022-3468(97)90628-X Google Scholar
[28]
Phạm Trung Vỹ, Phạm Như Hiệp, Hồ Google Scholar
[29]
Hữu Thiện & cs, Phẫu thuật nội soi điều trị Google Scholar
[30]
phình đại tràng bẩm sinh kinh nghiệm của Bệnh Google Scholar
[31]
viện Trung ương Huế. Published online 2018:6. Google Scholar
[32]
Georgeson KE, Laparoscopic-Assisted Google Scholar
[33]
Pull-Through for Hirschsprung’s Disease. Google Scholar
[34]
Semin Pediatr Surg. 2002;11(4):205-210. Google Scholar
[35]
doi:10.1053/spsu.2002.35350 Google Scholar
[36]
Byström C, Östlund S, Hoff N et al., Google Scholar
[37]
Evaluation of Bowel Function, Urinary Tract Google Scholar
[38]
Function, and Quality of Life after Transanal Google Scholar
[39]
Endorectal Pull-Through Surgery for Google Scholar
[40]
Hirschsprung’s Disease. Eur J Pediatr Surg. Google Scholar
[41]
;31(01):040-048. doi:10.1055/s-0040- Google Scholar
[42]
Sakurai T, Tanaka H, Endo N, Predictive Google Scholar
[43]
factors for the development of postoperative Google Scholar
[44]
Hirschsprung-associated enterocolitis in Google Scholar
[45]
children operated during infancy. Pediatr Surg Google Scholar
[46]
Int. 2021;37(2):275-280. doi:10.1007/s00383- Google Scholar
[47]
-04784-z Google Scholar