Effect of Da Vinci robot-assisted laparoscopic modified Swenson procedure in children with Hirschsprung's disease
Objective:To investigate the mid-term outcomes and experience of Da Vinci Robot-assisted laparoscopic modified Swenson procedure for Hirschsprung's disease(HSCR).Methods:From June 2020 to August 2022,28 children with HSCR who underwent Da Vinci robot-assisted laparoscopic modified Swenson operation in the Department of Pediatric Surgery,Affiliated Hospital of Guizhou Medical University were selected as the research objects.The Da Vinci Xi surgical system was used to separate rectum from its serosa to dentate line by keeping the anatomical plane away from the Denonvilliers'fascia and presacral fascia.After anal intussusception,the diseased section of bowel was removed.The normal intestinal canal was anastomosed to the anus using interrupted absorbable sutures.The general data,surgical indicators and postoperative outcomes of patients were collected and retrospectively analyzed.Results:All surgeries were successfully completed without conversion to laparotomy.The average operative time was(165±34)minutes,and the average blood loss was(9.8±5.2)ml,with an average hospital stay of(10.54±4.25)days and average follow-up time of(18.5±3.0)months.There were 4 cases of early postoperative complications,including 3 cases of perianal dermatitis and 1 case of colitis in small intestine.There were 3 cases of late complications,including 2 cases of colitis in small intestine and 1 case of perianal dermatitis.Conclusion:Da Vinci robot-assisted laparoscopic modified Swenson procedure is safe and feasible in the treatment of children with HSCR,which can effectively reduce the incidence of postoperative complications.
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