Laparoscopic histological mapping for the determination of the length of aganglionic segment in children with Hirschsprung disease

Bogusz, Bartosz; Smolec-Zamora, Małgorzata; Zając, Andrzej; Mol, Adam; Górecki, Wojciech

doi:10.17219/acem/129575

Cited by 4 publications

(2 citation statements)

References 15 publications

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“…Minimally invasive colonic mapping in HSCR has been rst reported by Mazziotti and Carvalho in 2001 [15,16] with good results but in a relatively small series of patients. Later on, in 2021, Bogusz et al reported similar results and outcome in a slightly larger series [17]. These authors reported safety and reliability of a minimally invasive approach for the diagnosis of intestinal innervative issues in HSCR.…”

Section: Redundant Rectal Pouch Excision -Excellent To Good In 2 (100...mentioning

confidence: 78%

Robotic surgery in Hirschsprung disease: a unicentric experience on 31 procedures

et al. 2022

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Background -Robotic surgery has been increasingly applied to Hirschsprung patients with encouraging results. We report the results of a 5-year unicentric experience.Materials and methods -All consecutive HSCR patients older than 12 months who underwent a surgical procedure with robotic approach between September 2017 and August 2022 were prospectively included. We collected data regarding demographics, extent of aganglionosis, associated anomalies, indications to surgery, and a number of perioperative data such as surgical details, intraoperative and perioperative complications, length of surgery, length of hospital stay, and functional outcome.Results -A total of 28 patients underwent 31 robotic procedures during the study period. Median age at surgery was 82 months. Eleven primary Totally Robotic Soave Pull-Through, 12 redoes, 5 innervative mapping, 2 redundant rectal pouch excision and 1 Miles' procedures have been performed. Median console time was 145 minutes. No conversion to either laparoscopy nor to laparotomy was required.Median length of hospital stay was 6 days. Two patients experienced complications requiring reiterative surgery. One patient experienced mild postoperative enterocolitis. Normal continence was achieved by 70% of patients after a median of 16 months postoperatively (80% for primary pull-throughs, 55% for redoes).Conclusions -To conclude, robotic surgery for older HSCR patients proved to be feasible, safe, and effective. Patients with complex surgical requirements seem to bene t most from this promising approach. Provided the economic burden is addressed and solved, robotic surgery will represent an excellent alternative for the surgical treatment of HSCR to serve the best for our patients.

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Section: Redundant Rectal Pouch Excision -Excellent To Good In 2 (100...mentioning

confidence: 78%

Robotic surgery in Hirschsprung disease: a unicentric experience on 31 procedures

et al. 2022

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“…This is particularly important as approximately 10% of neonates show mismatch between radiographic transition zone and level of aganglionosis ( 93 ). As a result, for any case with confirmed or suspected non-classic segment HD, the use of laparoscopic assistance seems to be required ( 94 ).…”

Section: Hirschsprung’s Disease (Hd)mentioning

confidence: 99%

Evidence-based advances in minimally invasive surgery in infants with congenital gastrointestinal anomalies: a narrative review

Liang,

Ganji,

Alganabi

et al. 2024

Transl Pediatr

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Background and Objective Minimally invasive surgery (MIS) has been widely utilized to manage congenital gastrointestinal (GI) anomalies in children during the last two decades. Currently, MIS has a proven track-record for its feasibility and provides multiple benefits including better cosmesis, less trauma, and faster recovery in neonates and infants. However, it remains controversial whether MIS provides better definitive outcomes in pediatric patients with GI anomalies, especially among neonates. We aim to review the recent developments of MIS in infants with GI defects, assisting surgeons in making decisions and improving patient outcomes. Methods A comprehensive literature search of PubMed and Web of Science’s core collection was performed using terms of MIS techniques and congenital GI anomalies. Key Content and Findings This review summarizes recent evidence-based advances of MIS in infants with congenital GI defects and potential future strategies based on evidence. Better cosmetic results, less postoperative pain, and an accelerated recovery have been shown to be common advantages of MIS relative to open approaches. Technical hurdles and metabolic disturbance were reported to be the main reasons for the decisions of open approach. Conclusions Advanced techniques of MIS have made more precise manipulations and better outcomes possible, even for newborns. At the same time, surgeons should not be afraid to use an open approach in certain circumstances due to technical limitations or patient tolerance. The difficulty infants face in expressing their true feelings underscores the need for systematic and objective assessment tools to evaluate surgical outcomes.

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Robotic surgery in Hirschsprung disease: a unicentric experience on 31 procedures

Mottadelli

Erculiani

Casella

et al. 2022

Preprint

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Background – Robotic surgery has been increasingly applied to Hirschsprung patients with encouraging results. We report the results of a 5-year unicentric experience. Materials and methods - All consecutive HSCR patients older than 12 months who underwent a surgical procedure with robotic approach between September 2017 and August 2022 were prospectively included. We collected data regarding demographics, extent of aganglionosis, associated anomalies, indications to surgery, and a number of perioperative data such as surgical details, intraoperative and perioperative complications, length of surgery, length of hospital stay, and functional outcome. Results - A total of 28 patients underwent 31 robotic procedures during the study period. Median age at surgery was 82 months. Eleven primary Totally Robotic Soave Pull-Through, 12 redoes, 5 innervative mapping, 2 redundant rectal pouch excision and 1 Miles’ procedures have been performed. Median console time was 145 minutes. No conversion to either laparoscopy nor to laparotomy was required. Median length of hospital stay was 6 days. Two patients experienced complications requiring reiterative surgery. One patient experienced mild postoperative enterocolitis. Normal continence was achieved by 70% of patients after a median of 16 months postoperatively (80% for primary pull-throughs, 55% for redoes). Conclusions - To conclude, robotic surgery for older HSCR patients proved to be feasible, safe, and effective. Patients with complex surgical requirements seem to benefit most from this promising approach. Provided the economic burden is addressed and solved, robotic surgery will represent an excellent alternative for the surgical treatment of HSCR to serve the best for our patients.

show abstract

Laparoscopic histological mapping for the determination of the length of aganglionic segment in children with Hirschsprung disease

Cited by 4 publications

References 15 publications

Robotic surgery in Hirschsprung disease: a unicentric experience on 31 procedures

Robotic surgery in Hirschsprung disease: a unicentric experience on 31 procedures

Evidence-based advances in minimally invasive surgery in infants with congenital gastrointestinal anomalies: a narrative review

Robotic surgery in Hirschsprung disease: a unicentric experience on 31 procedures

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