Laparotomic Versus Laparoscopic Duhamel Pull-Through for Hirschsprung Disease in Infants And Children

Abstract

With these encouraging results, laparoscopic Duhamel pull-through has become our procedure of choice in the surgical management of Hirschsprung's disease.

Laparoscopic-assisted pull-through operation for Hirschsprung’s disease: a systematic review and meta-analysis

“…Many paediatric surgeons use the laparoscopic approach because of the several advantages, such as obtaining seromuscular biopsies of the proximal bowel to confirm normal ganglion cells and easy laparoscopic mobilization of the bowel [8,9]. However, often, the price to pay for these advantages is a longer operative time, as reported by Ghirardo et al and Travassos et al in their respective comparative series [10][11][12]. The fact that many of the benefits of the pull-through procedure can be attained by transanal pull-through alone raises the question about the long-term outcome of those patients who have been treated laparoscopically.…”

Outcome of laparoscopic modified Duhamel procedure with Z-shaped anastomosis for Hirschsprung’s disease

“…Recently, minimally invasive surgeries, including a laparoscopic operation and transanal endorectal pullthrough (TEPT) with or without laparoscopy [8][9][10][11][12][13], have been introduced and are becoming increasingly popular…”

“…The Z-shaped colorectal side-to-side anastomosis was introduced by Ikeda [4] in 1967 to improve the Duhamel procedure; it eliminates the rectal blind pouch and completely divides the colorectal spur. In Japan, Z-shaped, colorectal, side-to-side anastomosis has been the most popular procedure, providing satisfactory long-term results [6,7].Recently, minimally invasive surgeries, including a laparoscopic operation and transanal endorectal pullthrough (TEPT) with or without laparoscopy [8][9][10][11][12][13], have been introduced and are becoming increasingly popular …”

“…Recently, minimally invasive surgeries, including a laparoscopic operation and transanal endorectal pullthrough (TEPT) with or without laparoscopy [8][9][10][11][12][13], have been introduced and are becoming increasingly popular [7,14]. A Z-shaped anastomosis using a linear stapling device has been used as the treatment of choice for HD at our clinic since 1978.…”

“…A laparoscopic approach was adopted for performance of Z-shaped anastomosis in 2001. Several laparoscopic Duhamel-type procedures have been reported [8][9][10][11], but laparoscopic Z-shaped anastomosis has not yet been described. We describe herein our experiences with laparoscopic, Z-shaped, colorectal, side-toside anastomosis and its points, and evaluate the clinical outcomes of our cases.…”