Single-incision laparoscopic versus conventional laparoscopic surgery for Hirschsprung's disease: A comparison of medium-term outcomes

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• 作者：Xue Xia¹ ; ^{xiaxue1106@163.com" class="auth_mail" title="E-mail the corresponding author} ; Ning Li ; Jia Wei ; Wen Zhang ; Donghai Yu ; Tianqi Zhu ; Jiexiong Feng ; ^{583821997@qq.com" class="auth_mail" title="E-mail the corresponding author} ; ^{fengjiexiong@126.com" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Hirschsprung's disease ; Single-incision laparoscopic surgery ; Conventional laparoscopic surgery ; Medium-term outcomes ; Complications ; Continence
• 刊名：Journal of Pediatric Surgery
• 出版年：2016
• 出版时间：March 2016
• 年：2016
• 卷：51
• 期：3
• 页码：440-443
• 全文大小：273 K

文摘

This study aims to report medium-term outcomes of single-incision laparoscopic surgery (SILS) and compare its results with conventional laparoscopic surgery (CLS).

Patients and Methods

Seventy-five patients with Hirschsprung's disease (HD) underwent operations from January 2009 to December 2012 in our institution (SILS, n = 40; CLS, n = 35). SILS procedure is similar to CLS, but uses a single, 1.5-cm horizontal skin incision in the umbilicus for laparoscopic access. Operative characteristics and medium-term outcomes were assessed.

Results

On average, patients in the SILS group had shorter operative times (mean ± standard deviation, 226 ± 69.4 min) than those in the CLS group (268.9 ± 83.6 min) (P = 0.01). Fourteen cases (35%) in the SILS group and ten cases (28.6%) in the CLS group had extended HD. Medium-term outcomes did not significantly differ between the groups, and the SILS group had better cosmetic results.

Conclusions

SILS could be safely performed in HD patients with good medium-term outcomes. Although SILS and CLS procedures had similar medium-term outcomes, SILS has advantages such as better cosmetic results and shorter operative times.