Minimally invasive surgery for Hirschsprung's disease / 中华实用儿科临床杂志

ABSTRACT

The morbidity of Hirschsprung's disease (HD) is 1/5 000,and HD is the second common congenital digestive tract malformation.The main treatment of HD is surgery.In 1948,Swenson designed a pull-through colorectal resection procedure,which was followed by Duhamel,Soave and Rehbein procedures.All of these procedures are all trans-abdominal approach,severe complications are common.With the development of laparoscopy,it is gradually applied to HD surgery.In 1998,Torre proposed the one-stage endorectal pull-through procedure,which further reduced the operation wound.Subsequently,natural orifice transluminal endoscopic surgery(NOTES) and transumbilical laparoscopy emerged.All the developments are for the purpose of minimal invasion,with the advantages of less pain,shorter hospital stay,a better cosmetic result and at the same time,surgical effect guaranteed.