Surgical Management of Hirschsprung's Disease: A Comparative Study Between Conventional Laparoscopic Surgery, Transumbilical Single-Site Laparoscopic Surgery, and Robotic Surgery

• Published in: Frontiers in surgery Vol. 9; p. 924850
• Main Authors: Li, Wei, Lin, Minghui, Hu, Hai, Sun, Quanfeng, Su, Cheng, Wang, Congjun, Li, Yanqiang, Li, Yong, Chen, Jiabo, Luo, Yige
• Format: Journal Article
• Language: English
• Published: Frontiers Media S.A 04-07-2022
• Subjects: children; conventional laparoscopic surgery; hirschsprung's disease; robotic surgery; Surgery; transumbilical single-hole laparoscopic surgery
• ISSN: 2296-875X; 2296-875X
• DOI: 10.3389/fsurg.2022.924850

Background
Hirschsprung's disease (HD) is a commonly digestive malformation in children that usually requires surgery. This study aims to evaluate the short-term efficacy of conventional laparoscopic surgery (CLS), transumbilical single-hole laparoscopic surgery (TU-LESS), and robotic surgery (RS) in the treatment of Hirschsprung's disease.
Methods
90 patients with Hirschsprung's disease undergone laparoscopic surgery at our center between 2015 and 2019, divided into three groups (group CLS, TU-LESS and RS), were retrospectively analysed.
Results
CLS and TU-LESS group showed no significant difference in operation duration (
P 
> 0.05) but shorter operation duration than the RS group (
P 
< 0.05). RS group had highest overall SCAR scores, while TU-LESS group had the lowest one (
P 
< 0.05). Other parameters such as operative blood loss, hospital stays, recovery time of digestive function, postoperative complications had no significant difference among the three groups (
P 
> 0.05).
Conclusion
The three surgical methods for HD revealed similar efficacy, where TU-LESS and CLS spent less time than RS; TU-LESS led to the most aesthetic effect, followed by CLS and RS.