AUTHOR=Li Wei , Lin Minghui , Hu Hai , Sun Quanfeng , Su Cheng , Wang Congjun , Li Yanqiang , Li Yong , Chen Jiabo , Luo Yige 

TITLE=Surgical Management of Hirschsprung's Disease: A Comparative Study Between Conventional Laparoscopic Surgery, Transumbilical Single-Site Laparoscopic Surgery, and Robotic Surgery

JOURNAL=Frontiers in Surgery

VOLUME=Volume 9 - 2022

YEAR=2022

URL=https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2022.924850

DOI=10.3389/fsurg.2022.924850

ISSN=2296-875X

ABSTRACT=Background: Hirschsprung's disease (HD) is a commonly digestive malformation in children that usually requires surgery. This study aims to evaluate the short-term efficacy of conventional laparoscopic surgery (CLS), transumbilical single-hole laparoscopic surgery (TU-LESS), and robotic surgery (RS) in the treatment of Hirschsprung's disease.
Methods: 90 patients with Hirschsprung's disease undergone laparoscopic surgery at our center between 2015 and 2019, divided into three groups (group CLS, TU-LESS and RS), were retrospectively analysed.
Results: CLS and TU-LESS group showed no significant difference in operation duration (P >0.05) but shorter operation duration than the RS group (P <0.05). RS group had highest overall SCAR scores, while TU-LESS group had the lowest one (P <0.05). Other parameters such as operative blood loss, hospital stays, recovery time of digestive function, postoperative complications had no significant difference among the three groups (P >0.05). 
Conclusion: The three surgical methods for HD revealed similar efficacy, where TU-LESS and CLS spent less time than RS; TU-LESS led to the most aesthetic effect, followed by CLS and RS.