{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T22:29:13Z","timestamp":1787005753417,"version":"build-2736575974"},"reference-count":15,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2019,12,1]],"date-time":"2019-12-01T00:00:00Z","timestamp":1575158400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2019,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Surgical treatment of Hirschsprung disease (HD) evolved in the last decades with the introduction of new innovative minimally invasive techniques. The aim of present study is to compare the results from two centers, applying similar minimal access approaches, total transanal endorectal pull-through (TEPT) and laparoscopic-assisted transanal pull-through (LA-TAPT).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      Data of all patients admitted between January 2011 and December 2016 in two Italian referral Hospitals for HD were retrospectively collected and analyzed. Exclusion criteria were as follows: redo procedure, patients with total colonic aganglionosis (ileostomy), patients lost at follow-up, or missing data. Patients who underwent TEPT and LA-TAPT were compared for gestational age, birth weight, age and weight at surgery, associated malformation, genetic syndrome, length of hospital stay, and early postoperative complications (within 30 days). Statistical analysis: Fisher's test and Mann\u2013Whitney test; statistical significance set at\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      None of the patients who underwent TEPT required laparotomy or laparoscopic assistance. Patients who underwent TEPT had lower age (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.001), lower body weight (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.0001), a significant higher rate of associated congenital heart disease (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.006), and longer postoperative stay. In addition, the prevalence of perianal dermatitis was higher in TEPT patients (17\/61 [28%] versus 2\/46 [4%],\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.001). The two groups were similar in terms of postoperative enterocolitis, redo surgery, anastomotic stenosis, and other infective complications.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Both minimally invasive techniques allow surgical advantages and outcomes; TEPT avoids pneumoperitoneum and the transperitoneal approach, with no need for laparoscopic instrumentation. TEPT group had longer postoperative stay, probably due to the higher prevalence of associated cardiac anomalies, and higher prevalence of perianal dermatitis, probably due to the lower age at operation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lap.2019.0165","type":"journal-article","created":{"date-parts":[[2019,10,15]],"date-time":"2019-10-15T17:18:21Z","timestamp":1571159901000},"page":"1605-1608","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":20,"title":["Minimally Invasive Techniques for Hirschsprung Disease"],"prefix":"10.1177","volume":"29","author":[{"given":"Chiara","family":"Iacusso","sequence":"first","affiliation":[{"name":"Neonatal Surgery Unit, Department of Medical and Surgical Neonatology, Bambino Ges\u00f9 Children's Hospital, IRCCS, Rome, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorenzo","family":"Leonelli","sequence":"additional","affiliation":[{"name":"Unit of Pediatric Surgery, Department of Surgery, G. Gaslini Institute, Genoa, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Valfr\u00e8","sequence":"additional","affiliation":[{"name":"Neonatal Surgery Unit, Department of Medical and Surgical Neonatology, Bambino Ges\u00f9 Children's Hospital, IRCCS, Rome, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Conforti","sequence":"additional","affiliation":[{"name":"Neonatal Surgery Unit, Department of Medical and Surgical Neonatology, Bambino Ges\u00f9 Children's Hospital, IRCCS, Rome, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabio","family":"Fusaro","sequence":"additional","affiliation":[{"name":"Neonatal Surgery Unit, Department of Medical and Surgical Neonatology, Bambino Ges\u00f9 Children's Hospital, IRCCS, Rome, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara Daniela","family":"Iacobelli","sequence":"additional","affiliation":[{"name":"Neonatal Surgery Unit, Department of Medical and Surgical Neonatology, Bambino Ges\u00f9 Children's Hospital, IRCCS, Rome, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrizia","family":"Bozza","sequence":"additional","affiliation":[{"name":"Unit of Anesthesiology, Department of Anesthesiology, Bambino Ges\u00f9 Children's Hospital, IRCCS, Rome, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Morini","sequence":"additional","affiliation":[{"name":"Neonatal Surgery Unit, Department of Medical and Surgical Neonatology, Bambino Ges\u00f9 Children's Hospital, IRCCS, Rome, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Girolamo","family":"Mattioli","sequence":"additional","affiliation":[{"name":"Unit of Pediatric Surgery, Department of Surgery, G. Gaslini Institute, Genoa, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pietro","family":"Bagolan","sequence":"additional","affiliation":[{"name":"Neonatal Surgery Unit, Department of Medical and Surgical Neonatology, Bambino Ges\u00f9 Children's Hospital, IRCCS, Rome, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,12,4]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2006.09.024"},{"key":"e_1_3_4_3_2","first-page":"212","article-title":"Resection of rectum and rectosigmoid with preservation of the sphincter for benign spastic lesions producing megacolon; an experimental study","volume":"24","author":"Swenson O","year":"1948","unstructured":"Swenson O, , Bill AH Jr.. Resection of rectum and rectosigmoid with preservation of the sphincter for benign spastic lesions producing megacolon; an experimental study. Surgery, 1948; 24:212\u2013220.","journal-title":"Surgery"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/adc.35.179.38"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1136\/adc.39.204.116"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199905000-00010"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(98)90169-5"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-016-4054-3"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2010.02.087"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2014.12.024"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0033-1343085"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3468(95)90333-X"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2016.02.020"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2006.10.049"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2014-006063"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2006.09.007"}],"container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/lap.2019.0165","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lap.2019.0165","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lap.2019.0165","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T19:52:43Z","timestamp":1777665163000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/lap.2019.0165"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,12,1]]},"references-count":15,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2019,12,1]]}},"alternative-id":["10.1089\/lap.2019.0165"],"URL":"https:\/\/doi.org\/10.1089\/lap.2019.0165","relation":{},"ISSN":["1092-6429","1557-9034"],"issn-type":[{"value":"1092-6429","type":"print"},{"value":"1557-9034","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,12,1]]}}}