A case series on the outcomes of laparoscopic pull-through surgery combined with Swenson-like technique and intraoperative frozen section biopsy for Hirschsprung’s disease in children

The combination of laparoscopic pull-through surgery with intraoperative frozen section biopsy has emerged as a promising approach in the treatment of Hirschsprung's disease. This case-series report study aims to describe the short-term outcomes. All patients who underwent one-stage laparoscopic pull-through surgery combined with the Swenson-like technique at the General Surgery Department of Children’s Hospital No. 2. We conducted 19 patients. The mean surgery duration was 143.6 ± 42.5 min. The mean postoperative hospital stay was 11.2 ± 3.7 days, with no intraoperative complications. Postoperatively, 4/19 cases (21.1%) had small bowel-colon inflammation, and 2/19 (10.5%) had perianal dermatitis. The mean follow-up time was 18.1 ± 4.1 months, with 4/19 (21.1%) patients experiencing small bowel-colon inflammation. No patient developed constipation. Short-term follow-up results for children undergoing surgery in this study were relatively good, with few complications. It is safe and feasible for treating classic Hirschsprung disease in children.