الفهرس 
Review of literatureOnly 14 pages are availabe for public view
 |  | from | 149 |  |  |
| | | from | 149 | | |
Abstract
The first laparoscopic assisted pull-through procedure for HD was done by Georgeson et al in 1995. The development of this technique has changed the surgical management of HD considerably during the last decade and it is starting to dominate the modern treatment of HD today. Several issues have been raised concerning the indications, feasibility, safety, and the functional results following laparoscopic assisted transanal endorectal pull-through procedure. In this work, we tried to study the technique of laparoscopic assisted transanal endorectal pull-through in the treatment of Hirschsprung’s disease from the operative technical point of view, immediate post-operative course, early postoperative course and short term functional outcome to evaluate its feasibility and safety. Between January 2009 to November 2012, 25 patients underwent definitive treatment for HD in the pediatric surgery unit in Mansoura university children’s hospital. All patients were treated using laparoscopic assisted transanal endorectal pull-through technique. We found Laparoscopic assisted transanal endorectal pull-though procedure is a very good choice for management of long segment cases of HD and cases with difficult transanal dissection and needs laparotomy assistance. We found good results and early regain of continence in ordinary segment cases done by laparoscopic assistance, but we recommend more evaluation for long term results for these cases.