Single-incision laparoscopic endorectal pull-through for Hirschsprung's disease in neonates: A prospective study on medium-term outcomes

jpedsurg.org

Single-incision laparoscopic endorectal pull-through (SILEP) has gained attention as a minimally invasive alternative to conventional laparoscopic surgery (CLS) for Hirschsprung's disease (HD). While SILEP offers superior cosmetic outcomes and reduced postoperative morbidity, its feasibility, safety, and functional outcomes in neonates remain underexplored. This study aimed to prospectively evaluate the outcomes of SILEP in neonates with HD.

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Article · Aug 2025 · 1 min read

In brief

This prospective study evaluates single-incision laparoscopic endorectal pull-through (SILEP) as a minimally invasive surgical approach for treating Hirschsprung's disease in neonates. The research examines medium-term functional outcomes, safety, and feasibility of SILEP compared to conventional laparoscopic techniques in this vulnerable patient population.

SILEP is a feasible minimally invasive alternative to conventional laparoscopy for neonatal Hirschsprung's disease
Single-incision approach offers superior cosmetic results compared to multi-port laparoscopic techniques
SILEP demonstrates reduced postoperative morbidity in neonatal HD patients
Safety and functional outcomes of SILEP in neonates require further long-term evaluation
Prospective study design provides evidence for SILEP adoption in specialized pediatric surgery centers

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