Özet:

Laparoscopic-assisted transanal pull-through (LATP) is a procedure that has gained increasing popularity in the management of Hirschsprung's disease. The purpose of this study was to compare results of patients treated with LATP and transanal pull-through (TPT). Methods: Records of 45 patients with Hirschsprung's disease who underwent surgery between 2006 and 2017 were retrospectively evaluated. Results: LATP was performed in 16 patients [13 male (81%), three female (19%)]. The average age of the patients was four months (7 days-84 months). Twenty nine patients [21 male (72.4%), eight female (27.6%)] underwent TPT. The average age of the patients was 11 months (10 days-90 months). The average time to start feeding in LATP and TPT groups was two days (one-three days) and 2. 6 days, respectively (p=0.074). The average operating time was 2.6 hours in the LATP group (two-four hours) and 2.7 hours in the TPT group (p=0.971). The average length of hospital stay in for LATP and TPT groups was 4.8 days (two-nine days) and six days (3-14 days), respectively (p=0.305). Conclusion: The advantages of LATP include multiple sample collection from several segments of the column at the same time as well as shorter time to frozen section diagnosis. In addition, the possibility of intraabdominal dissection allows transanal surgery to be faster and more effective.