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Long-term outcomes of single-incision laparoscopic technique in Soave procedure compared with heart-shaped anastomosis for Hirschsprung disease

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International Journal of Colorectal Disease Aims and scope Submit manuscript

Abstract

Purpose

This retrospective study compared the long-term outcomes of single-incision laparoscopy–assisted Soave procedure (SILSP) with single-incision laparoscopy–assisted heart-shaped anastomosis (SILHSA) in patients with Hirschsprung disease (HSCR).

Methods

Patients diagnosed with HSCR that underwent SILSP or SILHSA between January 2009 and January 2015 at our institute were enrolled in this retrospective study. Data on the clinical characteristics, perioperative complications, and postoperative quality of life were retrospectively collected and analyzed.

Results

There were 109 patients in the SILSP group and 95 patients in the SILHSA group. No differences in clinical characteristics, including age, weight, hospitalization length, blood loss volume, and operation time, were noted between the two groups. The incidence rates of constipation and soiling were lower in the SILHSA group than those in the SILSP group. The SILHSA group showed lower scores in constipation and soiling compared with the SILSP group, indicating a better surgical outcome for patients receiving SILHSA procedure.

Conclusion

SILHSA is a feasible and reliable minimally invasive surgical procedure for patients with HSCR. Patients who underwent SILHSA had lower incidence rates of constipation and soiling than patients who underwent SILSP, suggesting that SILHSA could be a better choice for patients with HSCR.

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Funding

This study was supported by the National Key Research and Development Program of China (2016YFE0203900) and the Sanming Project of Medicine in Shenzhen (SZSM201812055).

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Authors and Affiliations

  1. Department of Pediatric Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095 Jiefang Ave, Wuhan, 430030, China

    Xinyao Meng, Jing Wang, Tianqi Zhu, Didi Zhuansun & Jiexiong Feng

Authors
  1. Xinyao Meng
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  2. Jing Wang
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  3. Tianqi Zhu
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  4. Didi Zhuansun
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  5. Jiexiong Feng
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Corresponding author

Correspondence to Jiexiong Feng.

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Conflict of interest

The authors declare that they have no conflicts of interest.

Ethical approval

The Institutional Review Board of Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, approved the protocol for this study. All procedures involving human subjects were conducted in accordance with the ethical standards of the institutional and/or national research committee as well as with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Meng, X., Wang, J., Zhu, T. et al. Long-term outcomes of single-incision laparoscopic technique in Soave procedure compared with heart-shaped anastomosis for Hirschsprung disease. Int J Colorectal Dis 35, 1049–1054 (2020). https://doi.org/10.1007/s00384-020-03565-3

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