Comparison of clinical results of Transanal Endorectal Pull-Through of the colon with and without laparoscopic assistance in children with Hirschsprung’s disease

Introduction. Techniques of Transanal Endorectal Pull-Through (TEPT) with and without laparoscopic assistance have been widely used in pediatric surgery for correction Hirschsprung’s disease (HD) children with. Many clinics their studies noted the positive features this approach compared to classical methods, but long-term results after such operations are still debated. Purpose - study compare clinical TEPT HD. Materials methods. We analyzed experience laparoscopy (n=65 (29.41%)) (n=144 (70.59%)) childreb For confirmation diagnosis we general special procedures (barium enema, anomanometry, histological, determination acetylcholesterase activity). Results. Overall, among 55 (26.32%) 209 patients who underwent TEPT, postoperative long term follow up found intestinal problems like moderate stenosis colo-anal anastomosis incontinence 4 (1.91%), constipation 9 (4.31%), partial faecal 20 (9.57%) enterocolitis (EC) 22 (10.53%). There was no significant difference our patients. After assistance, 6 (4.17%) 144 had constipation, 11 (7.64%) fecal incontinence, 16 (11.11%) (EC). And 65 laparoscopy, 3 (4.62%) were diagnosed (13.85%) (9.23%) EC. All treated conservatively. need redo surgical interventions these Conclusions. The technique is a modern method HD, which has technical advantages other existing In 26.32% HD operated by method, persistent continue follow-up period. research carried out accordance principles Declaration Helsinki. protocol approved Local Ethics Committee all institutions mentioned work. Informed consent children’s parents obtained research. No conflict interests declared authors.