22. Application of single-incision laparoscopic surgery for the treatment of hirschsprung's disease in children

Dao Duc Dung, Bui Duc Hau, Pham Duy Hien

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Abstract

Single-incision laparoscopic surgery (SILS) has many advantages but is rarely performed in children. We applied SILS to treat Hirchsprung’s disease in children and evaluated the outcomes of this method. This is a prospective descriptive study in 93 patients diagnosed with Hirchsprung’s disease at National Children's Hospital between 01/2020 and 12/2021.  The male:female ratio was 10.6:1, and the mean age was 3.27 months. Absence of ganglion cells was found in the rectum (66/93 cases), in the sigmoid colon (24/93 cases), and in the left colon (3 cases). The average operation time was 70.3 ± 30.3 minutes, and the average postoperative hospital stay was 5.2 ± 2.7 days. There was no mortality. The most common complication was enterocolitis (16.1%) with an average follow-up time of 22.1 months. In conclusion, SILS is safe and effective in the treatment of Hirschsprung's disease. This method has several advantages, including having less trauma, quick recovery and better aesthetics.

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