[Laparoscopic-assisted modified Soave procedures for adult Hirschsprung disease].
OBJECTIVE
To evaluate the clinical value of laparoscopy-assisted modified Soave procedure for Hirschsprung disease in adults.


METHODS
Twenty-eight patients with a preoperative diagnosis of Hirschsprung disease underwent laparoscopy-assisted modified Soave procedure between March 2005 and December 2009. Clinical data were retrospectively analyzed.


RESULTS
There were no conversions to open surgery. The mean operative time was (165±12) minutes (range: 135-185 minutes). Estimated blood loss ranged from 50 to 250 ml, and no patients required intraoperative blood transfusion. Postoperative pathologic examination showed Hirschsprung diseases in 19 patients and Hirschsprung allied diseases in 9. Only two patients developed rectal cuff infection and three mild seepage. Other patients had no postoperative complications. The mean hospital stay was (17.5±1.0) days. No fecal incontinence or recurrent constipation occurred during follow-up.


CONCLUSIONS
Laparoscopy- assisted modified Soave procedure is safe and effective for Hirschsprung disease.
Center of Laparoscopic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.
Gao-xiong
GX
Han
Chuan-qing
CQ
Wu
Xiao-ming
XM
Shuai
Kai-xiong
KX
Tao
Guo-bin
GB
Wang
Dao-da
DD
Chen
D000293:Adolescent; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006627:Hirschsprung Disease / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult