Li Wei, Lin Minghui, Hu Hai, Sun Quanfeng, Su Cheng, Wang Congjun, Li Yanqiang, Li Yong, Chen Jiabo, Luo Yige
Department of Pediatric Surgery, The First Affiliated Hospital, Guangxi Medical University, Nanning, China.
Front Surg. 2022 Jul 4;9:924850. doi: 10.3389/fsurg.2022.924850. eCollection 2022.
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.
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.
CLS and TU-LESS group showed no significant difference in operation duration (> 0.05) but shorter operation duration than the RS group (< 0.05). RS group had highest overall SCAR scores, while TU-LESS group had the lowest one (< 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 (> 0.05).
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.
先天性巨结肠（HD）是儿童常见的消化系统畸形，通常需要手术治疗。本研究旨在评估传统腹腔镜手术（CLS）、经脐单孔腹腔镜手术（TU-LESS）和机器人手术（RS）治疗先天性巨结肠的短期疗效。
回顾性分析2015年至2019年在本中心接受腹腔镜手术的90例先天性巨结肠患者，分为三组（CLS组、TU-LESS组和RS组）。
CLS组和TU-LESS组手术时间差异无统计学意义（>0.05），但均短于RS组（<0.05）。RS组的总体瘢痕评分最高，而TU-LESS组最低（<0.05）。三组间手术失血、住院时间、消化功能恢复时间、术后并发症等其他参数差异无统计学意义（>0.05）。
三种治疗先天性巨结肠的手术方法疗效相似，其中TU-LESS和CLS的手术时间比RS短；TU-LESS的美容效果最佳，其次是CLS和RS。
