Laparoscopic-Assisted Swenson-Like versus Soave Pull-Through in Hirschsprung Disease: A Randomized Comparative Study of Functional Outcomes.
Ashraf Hamed Seddek, Mohamed Abdelmaboud, Mohammad Daboos et al.
✦ AI-curated · Sources linked
In 30 seconds
This randomized controlled trial compared laparoscopic-assisted Swenson-like (LASwL) and Yancey-Soave (LAYaSo) procedures in 110 children with Hirschsprung disease. At 2 years, the LASwL group had a significantly higher Rintala Bowel Function Score (18.20 vs 17.10, p = 0.037), indicating better bowel function, while both techniques showed similar quality of life outcomes.
Key findings
- LASwL resulted in a higher Rintala Bowel Function Score at 2 years (18.20 vs 17.10, p = 0.037).
- Mean operative time was shorter for LASwL (145.5 vs 160.3 minutes, p = 0.081).
- HAEC rates were 14.5% for LASwL and 20.0% for LAYaSo (p = 0.61).
- Three LAYaSo patients required redo surgery for cuff-related stricture.
Why it matters
Understanding the functional outcomes of different surgical techniques for Hirschsprung disease can guide clinicians in selecting the most appropriate procedure, potentially improving patient quality of life and reducing complications.
What to keep in mind
The study's single-center design and the need for longer follow-up are noted limitations.