Long-term outcomes of laparoscopic-assisted versus complete transanal endorectal pull-through technique for classic segment Hirschsprung’s disease
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In brief
In brief
This longitudinal study compared two surgical techniques for treating classic Hirschsprung's disease in 154 pediatric patients: complete transanal (TERPT) versus laparoscopic-assisted (LERPT) endorectal pull-through. While TERPT had shorter operative times, both approaches showed equivalent long-term outcomes in complication rates and bowel function.
- TERPT has significantly shorter operative time than LERPT (109.5 vs 144.6 minutes) for classic Hirschsprung's disease.
- Long-term complication rates are equivalent between TERPT and LERPT approaches.
- Stooling patterns show no significant difference between techniques at long-term follow-up.
- Both TERPT and LERPT are effective surgical options for classic segment Hirschsprung's disease in children.
Written by the GCMD Library team from the article.
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.